| NPI | 1295816460 |
|---|---|
| Doing Business As | CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAYNA DELOZIER Credentialing 248-484-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-01-08 |