| NPI | 1962457051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE R BROWN Md 248-280-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-10-01 |