| NPI | 1427452176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K DETTMANN Owner 616-350-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: 4301051003) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2016-09-27 |