| NPI | 1861572810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SHEARER Medical Billing 269-684-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI JH009955) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-04-22 |