| NPI | 1518902022 |
|---|---|
| Former Legal Business Name | ALLERGY CONSULTANT SERVICES PC |
| Entity Type | Organization |
| Authorized Contact | MARK M MILLAR President 616-957-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301071401) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-05-14 |