| NPI | 1457496952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE D CABANSAG President 269-651-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301080148) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 033706) |
| 208D00000X General Practice (Licence: MI 033706) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-01-27 |