| NPI | 1184828451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L KUDLOR Billing Manager 586-459-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2086S0105X Surgery, Surgery of the Hand | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-10-07 |