| NPI | 1750476792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES P LIGHT Physician President 989-790-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301066541) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-11-30 |