| NPI | 1134207624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL HILDEBRANDT Office Manager 616-527-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-09-12 |