| NPI | 1538119391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KUIPER President 269-329-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-03-30 |