| NPI | 1659526481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M DOHERTY Owner 269-945-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI LD068172) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-12-03 |