| NPI | 1619935012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. GARY MULLER Chief Executive Officer 906-225-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-04-23 |