| NPI | 1134269152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K ETUE Biller 517-937-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301052421) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101012799) |
| 207R00000X Internal Medicine (Licence: MI 4301090868) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-10-29 |