| NPI | 1265876841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANIAM K RANGAN Manager 269-274-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301090976) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |