| NPI | 1639353071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI S THOMPSON Office Manager 616-245-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101007635) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |