| NPI | 1427368547 |
|---|---|
| Doing Business As | THREE RIVERS BONE AND JOINT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |