| NPI | 1841200722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN R NOBLE Credentialing/Billing 517-787-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |