| NPI | 1194809129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA F FAJARDO Owner 269-463-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301030837) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-10-18 |