{
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"FirstLineMailingAddress": "2145 UNIVERSITY PARK DR",
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"MailingAddressFaxNumber": "517-349-8887",
"FirstLinePracticeLocationAddress": "2145 UNIVERSITY PARK DR",
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"EnumerationDate": "09/23/2005",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STOKOSA",
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"Taxonomies": {
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}
},
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}
}