Organization
MICHIGAN ORTHOPAEDIC TRAUMA SPECIALISTS PC
Active
Organization
MICHIGAN ORTHOPAEDIC TRAUMA SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED M FAULKNER DO (PRESIDENT)
(313) 277-6700
Entity
Organization
Contact information
Practice address
21031 MICHIGAN AVE, DEARBORN, MI 48124-2339
(313) 277-6700
(313) 277-2486
Mailing address
21031 MICHIGAN AVE, DEARBORN, MI 48124-2339
(313) 277-6700
(313) 277-2486
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
5101014788
MI
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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