| NPI | 1093936999 |
|---|---|
| Doing Business As | LIFETIME WELLNESS IN INTERNAL MEDICINE & PEDIATRICS A DIVISION OF HEAL |
| Entity Type | Organization |
| Authorized Contact | JAMES E MCKERNAN Administrator 269-373-4646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-08-11 |