| NPI | 1013165711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D BOLTON Billing Manager 734-712-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-08 |