| NPI | 1275558926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOR BORRERO Owner 616-808-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301066741) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-06-10 |