| NPI | 1568638732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE PIPP Billing/Accts Mgr 231-799-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI FD055364) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |