| NPI | 1861681819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C ANTONISHEN President 231-487-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301046169) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |