| NPI | 1962522771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN SHARDA Financial Officer 269-341-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301042801) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301076137) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301042454) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301048451) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301046184) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |