| NPI | 1578872438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT GILLMAN Office Manager 616-949-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI AK400050) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |