| NPI | 1669631438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOLDRIDGE Billing Specialist 517-265-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301032535) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-03-31 |