| NPI | 1447380324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE RICHARD BARNETT Owner 616-374-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI CB047150) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |