| NPI | 1851544555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S BLAIR Member 616-457-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |