| NPI | 1427298173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H DAVIS Executive Director 269-966-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-09-21 |