| NPI | 1770577637 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRADLEY S. HOCHSTETLER Owner 231-929-2500 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI TH048021) | 
| Enumeration Date | 2005-09-07 | 
| Last Update Date | 2021-12-15 |