| NPI | 1629465653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MARY WHITE Vice President 616-774-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |