| NPI | 1871760785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L REYNOLDS Practice Administrator 248-341-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 074673) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |