NPI | 1598304701 |
---|---|
Doing Business As | PREMIERMD PHYSICIANS PLLC |
Entity Type | Organization |
Authorized Contact | DAVID WILSON Owner 616-213-0253 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2020-01-06 |
Last Update Date | 2022-02-23 |