| NPI | 1952003352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER T HOFFMAN Managing Member 269-870-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-05-22 |