| NPI | 1477521094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON JACOB HARRIS President 616-949-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-09-19 |