| NPI | 1346422862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES MOUTSATSON Member 989-953-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI MM014511) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-10-03 |