| NPI | 1073701462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL GRANNELL President 269-684-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101007545) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |