| NPI | 1770761314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE M CHADFIELD Owner 616-940-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-10-20 |