| NPI | 1356653380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE BRYAN Director 616-643-9123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 208C00000X Colon & Rectal Surgery | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 208600000X Surgery | |
| 231H00000X Audiologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2023-10-31 |