| NPI | 1194997825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUENAVENTURA CARMEN PEREYRA Pediatrician 616-530-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301066298) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |