| NPI | 1487683504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GOEPFRICH Biller 231-935-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301055166) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |