| NPI | 1174835102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |