| NPI | 1164470472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA B RUMISEK Billing 616-752-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-03-21 |