| NPI | 1760626717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BENDFELDT Administrative Director 877-694-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036106352) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: IL 036106352) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2010-12-14 |