| NPI | 1902785892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE' MARGUERITE SKOGEN-REIGLER Controller 616-464-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |