Organization
ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RUSSETTE (CREDENTIALING COORDINATOR)
(586) 552-4573
Entity
Organization
Contact information
Practice address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
Mailing address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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