| NPI | 1780676684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE A. KILMER Manager 231-935-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |