NPI | 1992050173 |
---|---|
Doing Business As | THREE RIVERS HEALTH OCCUPATIONAL MEDICINE |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MI 750020) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |