Organization
BIOMATRIX ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON CHRISTOPHER WILLIAMS (MANAGING PARTNER)
(248) 470-5486
Entity
Organization
Contact information
Practice address
1116 E. BIG BEAVER RD., TROY, MI 48083
(586) 773-1400
(586) 773-6062
Mailing address
1116 E. BIG BEAVER RD., TROY, MI 48083
(586) 773-1400
(586) 773-6062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
335E00000X
Prosthetic/Orthotic Supplier
C26313
MI
335E00000X
Prosthetic/Orthotic Supplier
CO002312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH71514
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/27/2005
Last updated
05/13/2025
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