| NPI | 1952577900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA BARANOWSKI-BIRKMEIER Principal 616-891-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101011058) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |