NPI | 1679752349 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY ESHBAUGH Secretary 810-239-6731 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301058453) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2024-07-12 |