| NPI | 1407067051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE BROOKS Owner 989-729-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 510102740) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-11-09 |