| NPI | 1538386909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LABAERE DO Medical Education Director 810-715-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-07-21 |