| NPI | 1114687225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSSEF DERBALA Md 616-676-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2024-10-09 |