| NPI | 1487728978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B FALAHEE SVP Legal Affairs, C 269-341-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-07-24 |