| NPI | 1043814601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PEIRCE Manager Patient Accounts 989-356-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-10-25 |