| NPI | 1376719922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L REYNOLDS Practice Administrator 248-341-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 061840) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-07-21 |