Organization
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Active
Other names
Orthopaedic Associates of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MURRAY (CHIEF FINANCIAL OFFICER)
(616) 459-7101
Entity
Organization
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
PO BOX 1347, INDIANAPOLIS, IN 46206-1347
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
335E00000X
Prosthetic/Orthotic Supplier
CP01303
MI
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/15/2006
Last updated
05/28/2024
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