| NPI | 1104291202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE DOWNS VP Finance 269-948-3122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-01-25 |