NPI | 1548786593 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN VAN STRATEN President 616-308-3460 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2017-08-21 |
Last Update Date | 2017-08-21 |