| NPI | 1093055857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMERIUS L WARE Sole Member 313-579-3472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |