| NPI | 1598956625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MICHAEL MAXWELL Owner 517-263-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI JM051623) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-04-14 |