| NPI | 1487665428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FENNEMA Managed Care Administrator 616-281-6372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-11-04 |