Organization
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Active
Other names
Orthopaedic Associates of Michigan, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MURRAY (CHIEF FINANCIAL OFFICER)
(616) 459-7101
Entity
Organization
Contact information
Practice address
555 MIDTOWNE ST NE STE 105, GRAND RAPIDS, MI 49503-5731
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD14869
PTAN
MI
Enumeration date
06/27/2013
Last updated
05/28/2024
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