| NPI | 1629000930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D KOLSTOE Owner 517-351-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301046998) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-02-12 |