Organization
BAY STREET ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R MCMURRAY MD (DIRECT OWNER)
(231) 439-8020
Entity
Organization
Contact information
Practice address
4048 CEDAR BLUFF DR, STE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 347-6128
Mailing address
4048 CEDAR BLUFF DR STE 1, PO BOX 430, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 347-6128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
01/19/2010
Last updated
09/04/2012
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