| NPI | 1134395239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRING CFO 616-974-4889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-13 |