| NPI | 1740405513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MACLEOD CEO 231-876-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-11-30 |