| 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 |