| NPI | 1275579765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA SCHILDHOUSE Practice Manager 616-396-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-12-04 |