| NPI | 1578275335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH REISINGER-KINDLE Medical Director/Owner 269-929-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-02-19 |