| NPI | 1407886377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE WILLIAMS Administrator 269-375-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-11-07 |