| NPI | 1932330636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRING CFO 616-974-4889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301078284) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301078284) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2010-03-02 |