| NPI | 1396804571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KROPEWNICKI Practice Manager 616-459-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-09-11 |