NPI | 1346224367 |
---|---|
Doing Business As | THREE RIVERS HEALTH INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL Chief Executive Officer 269-278-1145 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 750020) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2011-05-24 |