| NPI | 1548223787 |
|---|---|
| Other Name | PH GASTROLOGY/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-11-15 |