| NPI | 1255455887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET L MOEN Owner 231-935-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI MM050642) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-07 |