Organization
CENTER FOR HAND & EXTREMITY RECONSTRUCTIVE SURGERY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FAILLA M.D. (DOCTOR)
(616) 457-1490
Entity
Organization
Contact information
Practice address
29829 TELEGRAPH RD, SUITE 201, SOUTHFIELD, MI 48034-1330
(248) 352-4263
(248) 352-2915
Mailing address
29829 TELEGRAPH RD, SUITE 201, SOUTHFIELD, MI 48034-1330
(248) 352-4263
(248) 352-2915
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301056308
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4301056308
MI
332BC3200X
Customized Equipment (DME)
4301056308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F324290
BCBS DME PIN
MI
Enumeration date
01/12/2007
Last updated
12/15/2016
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