| NPI | 1942482641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN SZOTT Billing Manager 616-900-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301046234) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-12-17 |