| NPI | 1962660001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARRING CFO 616-974-4889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2010-03-02 |