| NPI | 1154519346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JOSEPH Owner 810-869-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207L00000X Anesthesiology | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2024-01-09 |