| NPI | 1063827152 |
|---|---|
| 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 |