Organization
ORTHOPEDIC TRAUMA SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P COLEN D.O. (PHYSICIAN)
(248) 697-9839
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD, SUITE 275, NOVI, MI 48375-1878
(248) 381-5778
Mailing address
PO BOX 737, FARMINGTON, MI 48332-0737
(248) 697-9839
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
012323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058218714
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
4650148
—
MI
Enumeration date
02/13/2008
Last updated
03/30/2011
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