| NPI | 1457862351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M KALISZ Office Manager 810-653-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301103706) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |