| NPI | 1538521083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERENT DOMINIQUE PIHL Surgeon/Founder 616-634-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101019176) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-07-06 |