| NPI | 1033883269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN DUBRAVEC CEO Physician Health Care Provider 231-779-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |