NPI | 1942541636 |
---|---|
Doing Business As | THREE RIVERS HEALTH INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |