| NPI | 1376681379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A HICKS Office Manager 517-990-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301061289) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |