| NPI | 1215269287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R MCMURRAY Direct Owner 231-347-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2012-09-04 |