| NPI | 1104170661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA RAWLINGS Office Manager 616-323-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301071009) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-04-15 |