| NPI | 1457790313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A KLEIN Owner 231-935-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 5101008915) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-11-21 |