| NPI | 1962062703 |
|---|---|
| Doing Business As | BRIGHTWAVE PAIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | DONALD E WILLMAN President 616-608-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |