| NPI | 1558396721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J JERRY President 810-987-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301050081) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-13 |