NPI | 1093006728 |
---|---|
Doing Business As | SPARKS ENDOCRINOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2011-04-28 |
Last Update Date | 2012-11-27 |