| NPI | 1700194248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS CEROVSKI President 269-345-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 43 01 034602) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |