NPI | 1619028412 |
---|---|
Former Legal Business Name | DR'S MARVIN, GANS AND ROSLANIEC |
Entity Type | Organization |
Authorized Contact | PHILLIP L ROSLANIEC Partner 616-285-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |