| NPI | 1467650614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KEATING O'CALLAGHAN Physician 231-845-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 009391) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-03-07 |