| NPI | 1548332976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HOUGTON REDDING Executive Manager 616-451-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |