Organization
MICHIGAN SURGERY SPECIALISTS P.C.
Active
Parent organization
MICHIGAN SURGERY SPECIALISTS P.C.
Other names
Motus Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN SURGERY SPECIALISTS P.C.
Authorized official
MICHELE L KUDLOR (BILLING MANAGER)
(586) 558-9705
Entity
Organization
Contact information
Practice address
6014 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2212
(248) 863-9253
Mailing address
11012 E 13 MILE RD STE 200, WARREN, MI 48093-2547
(586) 558-9705
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01737
BCBSM
MI
Enumeration date
09/26/2019
Last updated
05/04/2021
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