Organization
ORTHOPEDIC MEDICAL BUILDING EAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS LENA WINCHESTER (C.E.O.)
(248) 595-8800
Entity
Organization
Contact information
Practice address
28671 HOOVER RD, 28673 HOOVER ROAD, WARREN, MI 48093-4105
(248) 595-8800
(248) 595-5817
Mailing address
28671 HOOVER RD, 28673 HOOVER ROAD, WARREN, MI 48093-4105
(248) 595-8800
(248) 595-5817
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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