| NPI | 1306963053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LABAERE DO Medical Education Director 810-715-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-07-21 |