| NPI | 1366639320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD P FOGEL Physican/Owner 586-598-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301056430) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-02-05 |