| NPI | 1912539743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 170300000X Genetic Counselor, MS | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-01-26 |