| NPI | 1780876409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE P DELA ROSA Medical Director 231-779-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301052242) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-02-27 |