| NPI | 1669611125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBERTY BELLE SHELTON HOBERMAN General Surgeon 616-738-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301068128) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2012-01-23 |