| NPI | 1356785083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOHNSON VP Finance 616-225-6310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |