| NPI | 1508260902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI NELSON VP Finance 231-845-2251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |