NPI | 1538234547 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT BENNETT BRASSEUR Member 269-945-2419 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 051816) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2008-04-02 |