| NPI | 1376808105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY LEE Principal&Medical Director 734-707-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MI 4301083331) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2024-02-23 |