| NPI | 1295792026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D EUGENE WILEY President/Physician Partner 616-957-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-04 |