| NPI | 1831388537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEELE MCCLELLAN III Owner 231-929-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI JM073559) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-10-05 |