| NPI | 1962445288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA VEDULA Owner 989-779-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301079152) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |