| NPI | 1912726811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PAUL VANLONKHUYZEN Partner/Physician Assistant 616-400-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-12-06 |