| NPI | 1588249478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2024-10-24 |