| NPI | 1053819623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE MULHOLLAND Office Manager 989-340-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301086730) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2021-05-24 |