| NPI | 1366240236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GERALD HALL Manager 248-536-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |