| NPI | 1972807469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M MAXWELL Owner 517-263-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |