| NPI | 1982825139 |
|---|---|
| Doing Business As | ON HOLD |
| Entity Type | Organization |
| Authorized Contact | JEANNE' WICKENS Senior Vice President Of Finance 517-788-4883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-05-14 |