Organization
BONE & JOINT INSTITUTE P C
Active
Parent organization
BONE & JOINT INSTITUTE P C
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONE & JOINT INSTITUTE P C
Authorized official
DR. GERALD JERRY M.D. (PRESIDENT)
(810) 987-9871
Entity
Organization
Contact information
Practice address
600 FORT ST, SUITE 100, PORT HURON, MI 48060-3941
(810) 987-9871
(810) 987-6070
Mailing address
600 FORT ST, SUITE 100, PORT HURON, MI 48060-3941
(810) 987-9871
(810) 987-6070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540G411560
BCBS OF MI SUPPLIER PIN
MI
Enumeration date
12/06/2007
Last updated
05/06/2020
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