NPI | 1174918080 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY B JANAS President/CEO 269-589-1056 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301093533) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |