NPI | 1710336839 |
---|---|
Doing Business As | UHC INTERNAL MEDICINE DR MACE |
Entity Type | Organization |
Authorized Contact | MICHAEL TILLMAN CEO 681-342-1620 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |