| NPI | 1841698578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH C STUBE Md 716-839-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-01-03 |