| NPI | 1104988252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIS PETER ATCHOO Treasurer 989-953-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI FA011418) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |