Organization
DMC ORTHOPEDIC BILLING ASSOCIATES LLC
Active
Other names
DMC BILLING ASSOCIATES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LACUSTA (EVP)
(313) 745-0770
Entity
Organization
Contact information
Practice address
3990 JOHN R ST, SUITE 1621, DETROIT, MI 48201-2018
(313) 745-0770
Mailing address
3990 JOHN R ST, SUITE 1621, DETROIT, MI 48201-2018
(313) 745-0770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
06/03/2008
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