| NPI | 1396923603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEVORE President 586-751-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI MD048964) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2014-08-20 |