NPI | 1609810985 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD EZRA RUTHERFORD Owner President 616-844-4067 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101009705) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2011-10-04 |