| NPI | 1487626271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY J MOSLEY Practice Administrator 616-459-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-06-20 |