| NPI | 1144696188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SEIDEL Practice Administrator 248-244-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MI 4301107930) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |