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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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