| NPI | 1245493915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN DENIEL Owner 616-949-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301061790) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2011-09-02 |