| NPI | 1891822565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS NATHANIEL RADDEN Owner 248-865-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-03-15 |