| NPI | 1992872493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWIS ALEXANDER Medical Doctor 616-291-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI RA044385) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |