| NPI | 1174808992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R MCMURRAY Direct Owner 231-347-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2013-01-03 |