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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