NPI | 1912189457 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER MIKE RANTA Owner; Physician 906-253-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 4301082835) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2008-02-25 |