NPI | 1891054987 |
---|---|
Doing Business As | THREE RIVERS HEALTH ENDOCRINOLOGY |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 750020) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2014-11-25 |