| NPI | 1881613040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HATHORNE Biller 248-937-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-12-30 |