Organization
SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP
Active
Organization
SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP
Active
Parent organization
SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GR
Other names
Ortho Trauma St Joes-AA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GR
Authorized official
MICHAEL GUSHO (RHM CFO SEMI)
(734) 398-0642
Entity
Organization
Contact information
Practice address
5315 ELLIOT DR, SUITE 304, YPSILANTI, MI 48197
(734) 712-0655
(734) 712-0611
Mailing address
7575 GRAND RIVER RD STE 114, BRIGHTON, MI 48114-9390
(810) 844-7785
(810) 844-7567
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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