# ASSOCIATED ORTHOPEDISTS OF DETROIT PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508410168
- **Legal business name:** ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
- **Authorized official:** JAMIE JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (586) 710-2307

## Contact information

- **Practice address:** 24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
- **Practice address phone:** (586) 779-7970
- **Practice address fax:** (586) 779-7748
- **Mailing address:** 24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
- **Mailing address phone:** (586) 779-7970
- **Mailing address fax:** (586) 779-7748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019