NPI | 1366636755 |
---|---|
Entity Type | Organization |
Authorized Contact | LONSON L BARR President & Physician 616-246-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 5101005711) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |