| NPI | 1508833625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E ROBINSON Practice Administrator 248-651-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2012-08-27 |