| NPI | 1063277796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C BRYANT Member 231-935-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |