| NPI | 1487494480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MCCULLOCH COO/CFO 734-645-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |