| NPI | 1750744066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE KAZMERS Co Owner 231-348-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301041105) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301041105) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301041254) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301041254) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-06 |