NPI | 1821376955 |
---|---|
Other Name | DMC SPORTS MEDICINE FARMINGTON HILLS |
Entity Type | Organization |
Authorized Contact | SUSAN PLUE Provider Enrollment 810-720-5715 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2011-07-22 |
Last Update Date | 2011-07-22 |