| NPI | 1851561773 |
|---|---|
| Former Legal Business Name | MEDICAL SPECIALTY ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E PAWL President 616-456-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301038152) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2012-06-11 |