| NPI | 1346200847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL A. KEIZER Administrative Manag 616-514-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2014-04-07 |