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Organization
PRECISION ORTHOPEDICS PC
Active
Organization
PRECISION ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. ATHENS JR. D. O. (PRESIDENT)
(734) 782-7003
Entity
Organization
Contact information
Practice address
25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
(734) 782-7003
(734) 782-7005
Mailing address
25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
(734) 782-7003
(734) 782-7005
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5101011454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396142287
IND NPI
—
01
—
1538198700
GROUP NPI
MI
01
—
1568433191
IND NPI
—
01
—
1982727756
IND NPI
—
01
—
200H234470
BCBS GROUP PIN
MI
01
—
2058214234
BCBS
—
05
—
4891150
—
MI
Enumeration date
07/01/2006
Last updated
04/07/2016
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