| NPI | 1164664082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JAVERY Owner 616-588-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101012927) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-05-27 |