NPI | 1558572891 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY D JOHNSON Practice Owner 906-776-1570 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301042058) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2008-05-01 |