| NPI | 1659547099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLA MAXINE MASSEY Office Manager 810-733-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI bg040280) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |