| NPI | 1790670958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN KETNER Owner 248-270-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-11-18 |