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Organization

MICHIGAN ORTHOPAEDIC SURGEONS PLLC

Active
Parent organization
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Other names
Performance Orthopaedics
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Authorized official
JOSEPH GUETTLER (EXECUTIVE COMMITEE MEMBER)
(248) 988-8085
Entity
Organization

Contact information

Practice address
24255 W 13 MILE RD, SUITE 100, BINGHAM FARMS, MI 48025-4320
(248) 988-8085
Mailing address
26025 LAHSER RD, THIRD FLOOR, SOUTHFIELD, MI 48033-2606
(248) 663-1900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
02/01/2017
Last updated
01/30/2024
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