| NPI | 1487622296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAN JAVAN NEDD President 616-954-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-01-30 |