| NPI | 1558245035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI CHARLAND Credentialing Manager 231-638-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |