| NPI | 1528590635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L ADAMEN Practice Manager 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |