| NPI | 1386651487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD KENT MAUPIN Owner/President 616-954-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301043303) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |