NPI | 1548635121 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER E FRALEY Practice Manager 810-204-1652 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301101847) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2024-06-13 |