| NPI | 1477289338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH JOHNS Director 616-916-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-09-07 |