| NPI | 1477831535 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN MILES MCCLURE Owner 989-399-8380 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301059267) | 
| Enumeration Date | 2011-07-23 | 
| Last Update Date | 2013-06-05 |