NPI | 1538585096 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK STEVEN CATALDO Managing Director 269-217-1920 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2014-03-08 |
Last Update Date | 2014-03-08 |