| NPI | 1629332689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L ADAMEN Practice Manager 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MI 4301089927) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-12-11 |