Organization
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Active
Parent organization
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Authorized official
KERRY LYNNE SIGURDSON-HOFFMANN (SENIOR CREDENTIALING SPECIALIST)
(586) 709-2336
Entity
Organization
Contact information
Practice address
26025 LAHSER RD FL 2, SOUTHFIELD, MI 48033-2606
(248) 663-1900
(248) 663-1901
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(248) 714-1635
(248) 327-6144
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225000000X
Orthotic Fitter
—
—
225100000X
Physical Therapist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CV0133744
—
MI
Enumeration date
09/19/2016
Last updated
04/14/2026
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