| NPI | 1174755284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNNE ROESLER Office Manager 269-344-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301026293) |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2009-08-23 |