| NPI | 1811151749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH PHILLIPS Billing Manager 231-439-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 430102950) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-05-10 |