Organization
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Active
Other names
Orthopaedic Associates of Michigan, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M MURRAY (CHIEF FINANCIAL OFFICER)
(616) 459-7101
Entity
Organization
Contact information
Practice address
5651 BYRON CENTER AVE SW STE 100, WYOMING, MI 49519-8607
(616) 459-7101
Mailing address
PO BOX 1347, INDIANAPOLIS, IN 46206-1347
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442790005
NSC DME PTAN
MI
Enumeration date
07/23/2013
Last updated
05/28/2024
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