| NPI | 1184485146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P TER LOUW Medical Director/President 231-246-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-02-18 |