| NPI | 1154447035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WHITESIDE President 989-894-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301046418) |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-08-01 |