| NPI | 1811983000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGALS D WELDAY VP Finance 616-391-2525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 416835) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-07-29 |