| NPI | 1902923246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS PETER SRUTWA M.D. Owner 616-847-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 4301045363) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-01-21 |