| NPI | 1124139332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W EASTON Pres. 248-879-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301051364) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI RE051364) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-01-09 |