| NPI | 1508051863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S KNAPP COO 269-428-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301071519) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |