| NPI | 1548278997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE E KAVANAGH Supervisor 989-779-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301066496) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-06-25 |