| NPI | 1770954703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T JOSEPH President 269-323-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-10-05 |