NPI | 1053808550 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON LEIGH WOOD Owner 517-999-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101018021) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2018-04-19 |