Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2014-08-04
- Last updated
- 2025-09-16
Specialties
Licenses
- License MI
- 6401011377
Location
- Practice location
- 302 S SENATOR RD
- City
- CRYSTAL MI
- Postal code
- 488189651
- Phone
- 989-831-9111
Organization contact
- Name
- ESTHER COMBS
- Title
- CEO
- Phone
- 9898319111
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
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