| NPI | 1154177541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MAKHNI Owner 810-331-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |