NPI | 1043930241 |
---|---|
Doing Business As | HENRY FORD HEALTH- ORTHO JOINT SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KIMBERLY CEBALT Manager Provider Enrollment 313-874-6764 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery |
207XX0005X Orthopaedic Surgery Sports Medicine | |
Enumeration Date | 2022-08-30 |
Last Update Date | 2023-11-16 |