| NPI | 1679575971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J BOYER Practice Administrator 231-935-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 431568) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 431568) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-08-02 |