| NPI | 1811562184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY TUJAKA Billing Manager 248-714-1625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-01-30 |