| NPI | 1831944370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA R. REIERSON CEO 339-793-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-08-04 |