| 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 |