NPI | 1518298025 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK R MCMURRAY Direct Owner 231-347-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-01-22 |
Last Update Date | 2012-09-04 |