| NPI | 1649291873 |
|---|---|
| Former Legal Business Name | PETOSKEY CARDIOLOGY, PC |
| Entity Type | Organization |
| Authorized Contact | DEBRA A. NOBLETT Practice Administrator 231-487-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-09-13 |