| NPI | 1992307052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA VP Ancillary Services 231-392-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-04-01 |