| NPI | 1942675251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT L SOLDANO President 269-381-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 111N00000X Chiropractor | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2016-02-10 |