| NPI | 1306084405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROTH Practice Manager 231-995-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2013-10-17 |