| NPI | 1487731287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J FORSTALL President 810-720-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301061462) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-02-26 |