| NPI | 1770796567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L JOHNSON Office Manager 517-788-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |