| NPI | 1679658504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L. ROMIG Provider Enrollment 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-06-06 |