NPI | 1679520712 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY ELAINE ROBERTS Practice Manager 269-969-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2006-05-27 |
Last Update Date | 2013-09-30 |