| NPI | 1538137997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W TENCATE Practice Administrator 269-343-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-10-16 |