| NPI | 1811965585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIDERIO FRANDA INES Owner 616-454-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-11-19 |