Organization
PURE PERFORMANCE ORTHOPEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D SWIFT (MEDICAL DIRECTOR)
(248) 792-4100
Entity
Organization
Contact information
Practice address
27207 LAHSER RD STE 108, SOUTHFIELD, MI 48034-2168
(248) 792-4100
(248) 792-4110
Mailing address
29155 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1011
(248) 792-4100
(248) 792-4100
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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