| NPI | 1164538286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LIVINGSTON Medical Director 616-685-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-04-23 |