| NPI | 1487825006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED MILLERMAIER Chief Medical Officer 269-552-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |