| NPI | 1083973176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 750020) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |