Organization
MICHIGAN ORTHOPEDIC SERVICES LLC
Active
Organization
MICHIGAN ORTHOPEDIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CONDON (PRESIDENT/CEO)
(734) 513-8205
Entity
Organization
Contact information
Practice address
5315 ELLIOTT DRIVE, STE 104, YPSILANTI, MI 48197-8634
(734) 434-0442
(734) 434-1061
Mailing address
13450 FARMINGTON ROAD, LIVONIA, MI 48150-4207
(734) 513-8205
(734) 513-8219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/18/2008
Last updated
06/10/2010
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