| NPI | 1477729028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L REYNOLDS Practice Administrator 248-341-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MI 067714) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-07-18 |