| NPI | 1043499353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD KLOOSTER Officer 231-347-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI GK012925) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-13 |