NPI | 1285991695 |
---|---|
Doing Business As | THREE RIVERS HEALTH SLEEP CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 750020) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |