| NPI | 1467527648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DESKINS Physician Owner 269-983-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI ms007105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI sd062237) |
| 207R00000X Internal Medicine (Licence: MI ka036485) | |
| 207R00000X Internal Medicine (Licence: MI ap062392) | |
| 207R00000X Internal Medicine (Licence: MI sw015533) | |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI vs046079) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI ss036858) | |
| 207R00000X Internal Medicine (Licence: MI dp065168) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2016-02-03 |