Organization
ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization
ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RUSSETTE (ASSISTANT MANAGER)
(586) 552-4573
Entity
Organization
Contact information
Practice address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 552-4573
Mailing address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 552-4573
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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