| NPI | 1871600833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY T VIBERT Physician 248-215-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301075858) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-09-26 |