| NPI | 1730418831 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTINA ROWE Credentialing 517-485-0001 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301068267) | 
| Enumeration Date | 2009-12-18 | 
| Last Update Date | 2025-02-28 |