| NPI | 1215813399 |
|---|---|
| Former Legal Business Name | COOLIDGE ROYAL OAK, LLC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LARSON VP Of Operations 586-260-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |