| NPI | 1669809612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W EASTON Medical Director 248-215-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301051364) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |