| NPI | 1235250978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L GILROY Owner 517-324-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MI 5101006179) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |