NPI | 1063827152 |
---|---|
Doing Business As | MIDLAND ALLERGY CLINIC |
Entity Type | Organization |
Authorized Contact | JONATHAN M HORBAL Sole Member 989-631-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 5101018381) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-06-07 |