| NPI | 1245813021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CLAY DORENKAMP CEO 517-360-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2026-05-14 |