| NPI | 1417950395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA DUNWOODY Customer Services Manager 616-949-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 416829) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2012-08-16 |