NPI | 1174504021 |
---|---|
Former Legal Business Name | WEST MICHIGAN HEART, PC |
Entity Type | Organization |
Authorized Contact | THOMAS JURRIES Director 616-486-6790 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301065606) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704211588) | |
363L00000X Nurse Practitioner | |
163W00000X Registered Nurse | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
363A00000X Physician Assistant | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2014-02-06 |