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Organization

ADVANCED ORTHOPEDICS ORTHOTICS LLC

Active
Parent organization
ADVANCED ORTHOPEDIC PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED ORTHOPEDIC PLLC
Authorized official
KATHY WARSHEFSKI (ADMINISTRATOR)
(810) 985-9365
Entity
Organization

Contact information

Practice address
1231 PINE GROVE AVE STE 1A, PORT HURON, MI 48060-3500
(810) 985-4300
Mailing address
1231 PINE GROVE AVE STE 1A, PORT HURON, MI 48060-3500
(810) 985-4300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
11/02/2012
Last updated
11/02/2012
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