| NPI | 1316053218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEPTER President 616-956-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101009470) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MI 5101009470) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-12-23 |