| NPI | 1538354964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W HEETHOUSE Owner 231-722-7245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101012999) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-11-06 |