| NPI | 1609050236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT WILDSTEIN President 843-406-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 24445) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2015-01-13 |