| NPI | 1649678475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TITUS PLOMARITIS Physician 586-918-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MI 5101008748) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |