# PRECISION ORTHOPEDICS PC

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

## Provider details

- **NPI number:** 1538198700
- **Authorized official:** DR. WILLIAM A. ATHENS JR. D. O. (PRESIDENT)
- **Authorized official phone:** (734) 782-7003

## Contact information

- **Practice address:** 25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
- **Practice address phone:** (734) 782-7003
- **Practice address fax:** (734) 782-7005
- **Mailing address:** 25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
- **Mailing address phone:** (734) 782-7003
- **Mailing address fax:** (734) 782-7005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5101011454 | MI | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 04/07/2016

## 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 |
