Organization
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC
Active
Organization
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC
Active
Other names
Orthopaedic Associates of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MURRAY (CHIEF FINANCIAL OFFICER)
(616) 459-7101
Entity
Organization
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
PO BOX 1347, INDIANAPOLIS, IN 46206-1347
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442790001
MEDICARE RAILROAD NSC
MI
Enumeration date
02/05/2007
Last updated
05/28/2024
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