| NPI | 1295816833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY DAVENPORT Operations Manager 810-720-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-05-26 |