| NPI | 1134281223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HASSING Business Office Supervisor 269-686-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-07-31 |