| NPI | 1871986760 |
|---|---|
| Other Name | GROSSE POINTE SPINE |
| Entity Type | Organization |
| Authorized Contact | FERNANDO TECHY Md 312-259-8254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |