NPI | 1811564032 |
---|---|
Doing Business As | BAY ALLERGY CLINIC |
Entity Type | Organization |
Authorized Contact | JONATHAN MICHAEL HORBAL Sole Member 989-895-5007 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-06-07 |