| NPI | 1841524758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A RONQUIST Owner 231-439-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301051494) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |