| NPI | 1619032000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDY L. CHAMPION President 616-249-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101011944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101011944) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |