| NPI | 1982731659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN REX CROSS President 989-839-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208600000X Surgery | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-05-17 |