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Organization

MID MICHIGAN ORTHOPAEDIC INSTITUTE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN A SAUCHAK D.O. (MANAGING PARTNER)
(517) 333-3777
Entity
Organization

Contact information

Practice address
830 W LAKE LANSING RD, SUITE 190, EAST LANSING, MI 48823-6371
(517) 333-3777
(517) 203-3948
Mailing address
830 W LAKE LANSING RD, SUITE 190, EAST LANSING, MI 48823-6371
(517) 333-3777
(517) 203-3948

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200C313650
BLUECARE NETWORK
MI
01
61117320
US DEPT OF LABOR
MI
01
7910818
AETNA
MI
Enumeration date
04/10/2006
Last updated
04/11/2011
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