| NPI | 1164611836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WILLIS BAILEY Physician/Owner 616-957-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101007477) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2018-06-19 |