| NPI | 1386971711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS SMITKO CEO 616-608-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |