| NPI | 1730123506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BAKKER Office Manager 616-296-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI DB067471) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |