NPI | 1013948686 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA RALSTON Practice Manager 810-695-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MI 5101008684) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-04-08 |