| NPI | 1053817494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R MESKO President 517-267-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 5101022905) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-25 |