| NPI | 1114616414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CHRISTINE WEISHAAR Nurse Practitioner 716-881-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |