| NPI | 1265635593 |
|---|---|
| Other Name | HURON GASTRO |
| Entity Type | Organization |
| Authorized Contact | LANA COOPER Administrator 734-528-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-08-25 |