| NPI | 1053808550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIELLE REED Practice Manager 517-999-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101018021) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2026-05-13 |