| NPI | 1255341566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMONT R KREIS General Partner 810-985-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-08-29 |