| NPI | 1700929411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LIUBAKKA Practice Administrator 906-225-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-05-07 |