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Organization
COMMUNITY ORTHOPEDIC SURGERY PC
Active
Organization
COMMUNITY ORTHOPEDIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA D BOLTON (BILLING MANAGER)
(734) 712-0635
Entity
Organization
Contact information
Practice address
5315 ELLIOTT DR, SUITE 202, YPSILANTI, MI 48197-8634
(734) 712-0600
(734) 712-0522
Mailing address
5315 ELLIOTT DR, SUITE 202, YPSILANTI, MI 48197-8634
(734) 712-0600
(734) 712-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
RN043612
MI
Other
Enumeration date
06/10/2006
Last updated
06/20/2008
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