| NPI | 1285822387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA STONER Administrator 231-487-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301091670) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2011-12-20 |