NPI | 1659376077 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P MILLIKEN President 231-935-0525 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301052861) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2011-01-17 |