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 (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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