| NPI | 1477742609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI CHANEY Office Manager 269-966-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI TG5689863) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-01-15 |