| NPI | 1114184348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRING CFO 616-974-4889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-03-02 |