| NPI | 1578730321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A TURNER Practice Manager 269-969-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI DB057402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI TP068448) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI RK031921) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI SA075754) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI MB137196) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI VK211652) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |