| NPI | 1033143052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K WINGATE Physician 586-755-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 15519) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |