| NPI | 1306175724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT HAUGER Billing Manager 231-439-8017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301065867) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |