| NPI | 1154495901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 122300000X Dentist | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-09-11 |