106S00000X
Grand Rapids, MI
Specialty
106S00000X
NPI
1750866505
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 106s00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 106S00000X