NPI | 1275807372 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED KORTE CFO 810-342-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208600000X Surgery |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
2083X0100X Preventive Medicine, Occupational Medicine | |
2085R0202X Radiology, Diagnostic Radiology | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2012-03-07 |
Last Update Date | 2018-08-09 |