| NPI | 1801101985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SETH VANWORMER Owner, President 616-975-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI MI 5101009001) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |