| NPI | 1255783544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GRIMALDI Director Of Administrative Services 616-940-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-03-17 |