| NPI | 1457541898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE VENZKE Billing Specialist 517-482-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI KH013102) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |