Organization
BAY STREET ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R MCMURRAY MD (DIRECT OWNER)
(231) 347-5155
Entity
Organization
Contact information
Practice address
4048 CEDAR BLUFF DR, SUITE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 347-6128
Mailing address
4048 CEDAR BLUFF DR, SUITE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 347-6128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/12/2011
Last updated
01/03/2013
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