NPI | 1639381460 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY KAY HAMMOND President 269-385-2784 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301035723) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-06-27 |