| NPI | 1649680224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE M KRYWANSKI SVP Finance 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0210X Pediatrics Pediatric Nephrology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-10-31 |