NPI | 1770617938 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN EARL SHAIRD Medical Director 269-580-8011 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301060535) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2017-12-27 |