| NPI | 1295905743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI PIERMAN Credentialing Specialist 269-341-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301041296) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2017-10-24 |