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 |