| NPI | 1871982249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RICHARD MELDRUM Owner 616-920-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301102234) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |