NPI | 1154469229 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED KORTE CFO 810-342-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-02-02 |
Last Update Date | 2018-08-09 |