Organization
TRI COUNTY ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA LEE HOLTZMAN (OFFICE MANAGER)
(248) 474-5081
Entity
Organization
Contact information
Practice address
28100 GRAND RIVER AVE, SUITE 209, FARMINGTON HILLS, MI 48336-5967
(248) 474-5081
(248) 474-4679
Mailing address
28100 GRAND RIVER AVE, SUITE 209, FARMINGTON HILLS, MI 48336-5967
(248) 474-5081
(248) 474-4679
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200F313050
BCBSM
MI
01
—
5816050001
MEDICARE DME
MI
Enumeration date
09/27/2005
Last updated
06/26/2008
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