| NPI | 1053589960 |
|---|---|
| Doing Business As | ADULT & PEDIATRIC ENT |
| Entity Type | Organization |
| Authorized Contact | MARK C. RUMMEL President 269-341-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2022-01-12 |