| NPI | 1639382211 |
|---|---|
| Doing Business As | ADA VILLAGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DARYL M LAWRENCE-FRIEDL D.O. 616-954-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101010305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101010305) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-10-22 |