| NPI | 1083871529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA ANDAMEN Office Manager 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301082888) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |