| NPI | 1972716777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH FAREMOUTH President 586-286-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI JF029490) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |