| NPI | 1508146457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E DAUGHERTY CEO 231-796-8691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2023-08-29 |