Gerontology Network Valid NPI

Organization · Geriatric Psychiatry Physician · Grand Rapids, MI

NPI

1104952332

Type

Organization (Type 2)

Primary specialty

Geriatric Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0805X

Enumerated

2007-02-23

Last updated

2008-05-02