| NPI | 1538766639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ILKA Owner, Md 616-285-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |