| NPI | 1558444976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J GOETHE President 989-832-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4101405876) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |