NPI | 1184080806 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J. GRAHAM President 616-842-5610 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101008182) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |