| NPI | 1659408029 |
|---|---|
| Doing Business As | STANDALE FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | LEONARD A LEWIS Member 616-453-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-28 |