NPI | 1871699371 |
---|---|
Entity Type | Organization |
Authorized Contact | CESAR MARIO CHAVES Physician Proprietor 989-729-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301086974) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MI 4704234443) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2009-07-07 |