| NPI | 1972807147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALDERDICE Physician 269-982-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101008526) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |