Organization
ALYSTYN INC.
Active
Other names
Vasaio
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ANDERSON (PRESIDENT)
(734) 667-3545
Entity
Organization
Contact information
Practice address
1100 E PARIS AVE SE, GRAND RAPIDS, MI 49546-8367
(616) 942-2966
Mailing address
1100 E PARIS AVE SE, GRAND RAPIDS, MI 49546-8367
(616) 942-2966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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