NPI | 1336787381 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER NICOLE HARTMAN Member 517-745-0389 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
Enumeration Date | 2019-12-19 |
Last Update Date | 2020-04-17 |