| NPI | 1467631804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ANTHONY OGAS Owner 231-739-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MI 4301062711) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-07-01 |