| NPI | 1033323712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT J. ROTH Physician 248-457-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301407009) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |