| NPI | 1346594066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA GUERRA Authorized Official 989-401-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |