| 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 |