| NPI | 1043653082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BEARDSLEE APP President 616-776-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301029675) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |