| NPI | 1932617529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TIMOTHY BRAUN Owner 267-259-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME117110) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME117110) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-12-29 |