| NPI | 1245429281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY H. SHAW President 231-487-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301045389) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2009-11-18 |