| NPI | 1033440565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA K MAHAR Chief Operating Officer 616-225-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 590060) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |