| NPI | 1780200196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS BLANKEMEYER Chief Executive Office 135-354-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |