103K00000X
Grand Rapids, MI
Specialty
103K00000X
NPI
1407660160
1000 East Paris Ave S.E., Grand Rapids, MI 49546
(616) 464-3430Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 103k00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 103K00000X