| NPI | 1205037694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BURKE President 586-751-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI RT042363) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |