| NPI | 1720292303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI KNOX DOWNEY Practice Administrator 616-957-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-05-30 |