| Organization Name: | MSN HEALTHCARE |
| NPI Number: | 1760660401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK STEPHEN NEUMANN (OWNER) |
| Mailing Address: | 1715 W Dean Rd Ste B Temperance |
| State: | MI US |
| Postal Code: | 481829406 |
| Phone Number: | 7348474700 |
| Fax Number: | 7348474711 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 5101013724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |