| NPI | 1023343753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KAYE VANDENBERG CEO 616-820-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 335E00000x) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |