| NPI | 1588821433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BAKER Physician 616-365-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 100005) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |