Organization
COMMUNITY ORTHOPEDIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA D BOLTON (BILLING MANAGER)
(734) 712-0635
Entity
Organization
Contact information
Practice address
5315 ELLIOTT DR, SUITE 202, YPSILANTI, MI 48197-8634
(734) 712-0600
(734) 712-0522
Mailing address
5315 ELLIOTT DR, SUITE 202, YPSILANTI, MI 48197-8634
(734) 712-0600
(734) 712-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
RN043612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540D711950
BCBSM DME
MI
01
—
540H115470
BCBSM DME
MI
Enumeration date
06/10/2006
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us