| NPI | 1669212114 |
|---|---|
| Doing Business As | NORTH VALLEY INTERNAL MEDICINE PC |
| Entity Type | Organization |
| Authorized Contact | BRANDON GENSON Owner 248-676-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-07-01 |