| NPI | 1679293757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NZOMA CEO 313-319-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-03-08 |