Organization
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
Active
Other names
The CORE Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARKEL III MD (MANAGING PARTNER)
(866) 974-2673
Entity
Organization
Contact information
Practice address
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374-1212
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
MI
207XX0801X
Orthopaedic Trauma Physician
—
MI
213E00000X
Podiatrist
—
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
—
MI
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
363A00000X
Physician Assistant
—
MI
363AS0400X
Surgical Physician Assistant
—
MI
Other
Enumeration date
02/03/2006
Last updated
12/14/2023
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