| NPI | 1144495193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE W BEAUMONT President 586-286-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301034186) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |