| NPI | 1740488733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ST. CHARLES Director Nicu 231-935-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |