| NPI | 1134599046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA L UNDERHILL Practice Manager 517-267-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI 4301095240) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |