| NPI | 1376847145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN KELSEY Director 616-957-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2013-12-17 |