| NPI | 1417068016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB LANTINGA Billing COO Rdinator 616-774-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-12-12 |