| NPI | 1083677546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE ROSEMA Administrator 231-733-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301036132) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-06-17 |