| NPI | 1831393784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY PETER MANGULABNAN President 989-790-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301072416) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-01-20 |