Organization · Type 2 NPI
Lake Michigan Hand Center, PC
Surgery of the Hand (Surgery) Physician · St. Joseph, MI
NPI number
1417067711
Active
Practice location
3950 Hollywood Rd, Suite 220
St. Joseph, MI 49085-9151
Fax (269) 429-4267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery of the Hand (Surgery) Physician Primary | 2086S0105X | None listed |
Surgery of the Hand (Surgery) Physician: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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About NPI 1417067711
Lake Michigan Hand Center, PC's National Provider Identifier is 1417067711, issued on Aug 30, 2006. The primary taxonomy on file is Surgery of the Hand (Surgery) Physician (2086S0105X), and the practice location is in St. Joseph, MI. The record was last updated on Apr 23, 2009.