| NPI | 1831366905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY DETTMAN Billing Specialist 517-265-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101011992) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-07-07 |