| NPI | 1679625875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WEBER GALONSKY Vice President 269-969-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-02-20 |