| NPI | 1962521476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G STAHL,III President 906-225-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301082866) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-08-18 |