| NPI | 1275527053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN E VANDERVEEN President 616-942-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-03-06 |