| NPI | 1124263470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E BALAZSY Owner 586-493-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301065597) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2014-10-13 |