| NPI | 1235465683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EASA Sole Member 616-796-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI JE069312) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2010-01-08 |