| NPI | 1609809474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA BUENTELLO Office Manager 616-336-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 303842396) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |