| NPI | 1386043719 |
|---|---|
| Other Name | GRAND VALLEY STATE UNIVERSITY FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANN SHEEHAN Assistant Dean For Practice Kcon 616-988-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4704248959) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 4704248959) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |