NPI | 1184646267 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRELL A O'DONNELL Physician/Owner 269-408-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101014079) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2021-06-04 |