NPI | 1063639870 |
---|---|
Doing Business As | GRAND RAPIDS EAR NOSE AND THROAT PC |
Entity Type | Organization |
Authorized Contact | THOMAS W PFENNIG Owner 616-249-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2007-04-20 |
Last Update Date | 2015-07-09 |