| NPI | 1801048699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DUHR Executive Director 616-466-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301077476) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2022-06-06 |