| NPI | 1902101520 |
|---|---|
| Other Name | NOVI PROVIDENCE PARK ORTHOPAEDIC CENTER |
| Entity Type | Organization |
| Authorized Contact | BETTY DAVENPORT Operations Manager 810-720-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |