| NPI | 1679650568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BUSH Owner 517-548-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI WB007205) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-17 |