| NPI | 1780742015 |
|---|---|
| Doing Business As | GRAND RAPIDS PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301036769) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-10-19 |