| NPI | 1861824559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD STEUER Md/Owner/President 901-624-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 15385) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2017-04-25 |