NPI | 1265517783 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA HOUGHTON CFO 269-226-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 207R00000X Internal Medicine |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-01-25 |