| 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 |