| NPI | 1679729651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRING CFO 616-974-4889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2010-03-02 |