| NPI | 1538564075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L DAVIS Owner/Physician 517-371-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101012747) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-29 |