| NPI | 1245916709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO CORPUS Authorized Official 231-342-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-07-21 |