| NPI | 1659040731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON S SAMONA Owner 248-939-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-05-31 |