| NPI | 1669542247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G PLAGENS M.D. 313-730-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-09-29 |