Organization
MI STREET ORTHOPEDIC SPECIALISTS PC
Active
Organization
MI STREET ORTHOPEDIC SPECIALISTS PC
Active
Other names
Bereza & Lovell Orthopedics, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LORI E LUMLEY (PRACTICE MANAGER)
(616) 774-9515
Entity
Organization
Contact information
Practice address
1300 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2026
(616) 774-9515
(616) 774-7116
Mailing address
1300 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2026
(616) 774-9515
(616) 774-7116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
01/09/2015
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