| NPI | 1679633929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P EGAN Chief Executive Officer 231-726-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-12-11 |