| NPI | 1861752768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN A MATUSZAK President 248-244-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 4301088812) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |