| NPI | 1477735587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LABAERE Medical Education Director 810-715-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-07-21 |