| NPI | 1376040360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUSH J ORANDI Owner 616-794-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301095171) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2018-08-29 |