| NPI | 1174712046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG W WHITE President 616-225-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 5101015205) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2009-12-11 |