| NPI | 1063467389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E GIRARDOT Certified Practioner/Treasuer 248-680-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI B ME-0133255) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-04-21 |