| NPI | 1346904802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEANN PATRICE CRONK Management 989-249-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |