Organization
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
Active
Organization
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
Active
Other names
The CORE Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O'HARA III MD (MANAGING PARTNER)
(866) 974-2673
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, STE 401, SOUTHFIELD, MI 48075-4825
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
332BC3200X
Customized Equipment (DME)
—
MI
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Enumeration date
05/24/2013
Last updated
08/16/2021
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