| NPI | 1235167719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ROOD Sr It Syst EMS Analyst 234-312-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-05-24 |