NPI | 1316145972 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA A IGNATOSKI Manager 269-789-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4301033625) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2009-05-29 |