| NPI | 1033467493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J. STEHOUWER President 231-728-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 38469) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |