| NPI | 1114920550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A RUPKE Head Of Group 616-242-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301026158) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-08-21 |