| NPI | 1497562466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E BOZZIO Owner 231-944-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2026-08-28 |