| NPI | 1609165711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI C SIEMANN Medical Staff Svcs Coordinator 225-215-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2012-05-01 |