| NPI | 1801957121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI CHANEY Office Manager 269-966-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI DC041491) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |