# ORTHOPEDIC MEDICAL BUILDING EAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508218421
- **Authorized official:** MRS. IRIS LENA WINCHESTER (C.E.O.)
- **Authorized official phone:** (248) 595-8800

## Contact information

- **Practice address:** 28671 HOOVER RD, 28673 HOOVER ROAD, WARREN, MI 48093-4105
- **Practice address phone:** (248) 595-8800
- **Practice address fax:** (248) 595-5817
- **Mailing address:** 28671 HOOVER RD, 28673 HOOVER ROAD, WARREN, MI 48093-4105
- **Mailing address phone:** (248) 595-8800
- **Mailing address fax:** (248) 595-5817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146M00000X | Intermediate Emergency Medical Technician | — | NULL | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2016
- **Last updated:** 07/02/2016