| NPI | 1851006316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER URBANIAK CFO 616-218-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-06-27 |