| NPI | 1902218191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY KAY HART Rcm Manager 517-267-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 5101013922) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2026-05-14 |