| NPI | 1447460852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL NEIL VAN HOUZEN Owner 231-935-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301035319) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |