| NPI | 1952508582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONI WILLIAMS Practice Administrator 517-482-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2022-04-14 |