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 |