| NPI | 1548874860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HUNGERFORD President 616-419-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |