| NPI | 1053577536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STRINGHAM Credentialing Manager 269-969-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI CC788218) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |