| NPI | 1255482816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FAILLA Doctor 616-457-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301056308) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301056308) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 4301056308) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-12-15 |