| NPI | 1396902904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PHILLIP HORWICH Owner 269-668-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301071215) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |