| NPI | 1255783858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ZIEGER Owner Provider 810-987-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301072047) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-26 |