| NPI | 1609055375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ESHBAUGH Secretary 810-239-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301076705) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |