| NPI | 1528896446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FORTIN Executive Committee Member 248-845-4381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |