| NPI | 1316814668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER JANSEN CEO 616-581-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-28 |