| NPI | 1720489453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN BRAUNREITER Treasurer 616-391-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |