| NPI | 1114040813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE BREMER Manager Coding & Patient Accounts 989-729-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-12-01 |