NPI | 1982709374 |
---|---|
Former Legal Business Name | GENESEE INFECTIOUS DISEASES & TRAVEL MEDICINE CENTER, PLC |
Entity Type | Organization |
Authorized Contact | CARLOS LEWIS Owner 810-655-0027 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101008932) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2015-10-30 |