| NPI | 1336504760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURENS J. WILLEKES Owner 616-259-7341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301104138) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |