| NPI | 1497709869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA HOUGHTON CFO 269-226-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 251J00000X Nursing Care | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-12-30 |