| NPI | 1205243813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P BLOCKSOM Physician 989-820-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101013730) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-08-26 |