| NPI | 1396377131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment COO Rdinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-01-24 |