| NPI | 1912042151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN R PRINCE President 248-969-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MI 008138) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-08-09 |