Organization
ORTHOPAEDIC CENTER OF MID-MICHIGAN P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL M KERN (ADMINISTRATOR)
(989) 793-1372
Entity
Organization
Contact information
Practice address
3875 BAY RD, STE 2S, SAGINAW, MI 48603-2417
(989) 793-1372
(989) 793-4518
Mailing address
3875 BAY RD, STE 2S, SAGINAW, MI 48603-2417
(989) 793-1372
(989) 793-4518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301055237
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G31277
BCBSM PIN
MI
01
—
CF8475
RAILROAD MEDICARE
MI
Enumeration date
10/04/2007
Last updated
04/29/2008
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