| NPI | 1205978756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY JOSEPH BLAIR Owner 989-793-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI HB035302) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |