| NPI | 1700150620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA OSELETT Billing 248-651-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-09-04 |