| NPI | 1689980245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA WELSH Office Administrator 231-733-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |