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 |