| NPI | 1043318504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY MICHAEL BOIKE President 989-583-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |