Organization
MICHIGAN CENTER FOR ORTHOPEDIC SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAJEE NALLAMOTHU D.O. (PRESIDENT)
(248) 620-2325
Entity
Organization
Contact information
Practice address
5701 BOW POINTE DR, STE 300, CLARKSTON, MI 48346-3198
(248) 620-2325
(248) 620-2326
Mailing address
5701 BOW POINTE DR, STE 300, CLARKSTON, MI 48346-3198
(248) 620-2325
(248) 620-2326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MI
Other
Enumeration date
02/03/2006
Last updated
03/08/2012
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