| NPI | 1437216728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI CHANEY Office Manager 269-966-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MI GH010148) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-01-23 |