| NPI | 1992572408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EEKA WENDELLA MARSHALL Owner/Physician 269-599-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |