| NPI | 1699563577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COLLINS Compliance Officer 989-558-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |