| NPI | 1518019223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AMOS JONES Dchwb 616-828-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-07-25 |