| NPI | 1316468275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L ADAMEN Practice Manager 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MI 5315073051) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |