| NPI | 1063690840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MULDER President 616-451-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301043859) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |