NPI | 1417001892 |
---|---|
Former Legal Business Name | GRAND RAPIDS ALLERGY PC |
Entity Type | Organization |
Authorized Contact | KARYN E. GELL Partner 616-949-4840 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2007-01-22 |
Last Update Date | 2013-12-31 |