| NPI | 1447271515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEN MANNAM Gastroenterologist 810-720-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI SM010585) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |