| NPI | 1134839103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SARDELLI Owner 248-379-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-10-15 |