| NPI | 1649214099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DALE LEGALLEY President 906-225-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-10-06 |