| NPI | 1639108863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN HUTSON Owner Operator Physician 616-738-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301051148) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-02-27 |