Organization
ORTHOPEDIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M MAHARAS (BILLING SUPERVISOR)
(734) 284-1066
Entity
Organization
Contact information
Practice address
13479 NORTHLINE RD, SOUTHGATE, MI 48195-1064
(734) 284-1066
(734) 284-9865
Mailing address
13479 NORTHLINE RD, SOUTHGATE, MI 48195-1064
(734) 284-1066
(734) 284-9865
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
028877
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1207894
—
MI
01
—
20 0H220320
BCBSM
MI
05
—
4235862
—
MI
Enumeration date
05/17/2007
Last updated
02/23/2016
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