| NPI | 1639334626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH POTENTE President 616-249-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 2301004828) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2008-07-19 |