| NPI | 1578573960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOUWSMA Doctor 810-635-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301080892) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101011005) |
| 207L00000X Anesthesiology (Licence: MI 5101008081) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |