| NPI | 1952512311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P KELSEY Owner 269-469-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-06-16 |