Organization
IEP MCO ORTHOPEDIC URGENT CARE PLLC
Active
Organization
IEP MCO ORTHOPEDIC URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GERALD HALL MD (MANAGER)
(248) 536-2127
Entity
Organization
Contact information
Practice address
6405 TELEGRAPH RD, BLOOMFIELD HILLS, MI 48301-1716
(248) 997-4690
Mailing address
PO BOX 675560, DETROIT, MI 48267-5560
(248) 536-2127
(248) 893-6952
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/05/2025
Last updated
03/03/2026
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