| NPI | 1144966466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAN J NEDD Owner 616-954-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-08-21 |