NPI | 1467651471 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY C. CUSTER Owner 517-278-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301051457) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-07-11 |