| NPI | 1306233242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK W. BORN Physician 269-429-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101009712) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |