| NPI | 1841238854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MCKERNAN Administrator 269-343-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207Y00000X Otolaryngology | |
| 207T00000X Neurological Surgery | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-06-05 |