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Organization

ASSOCIATED ORTHOPEDISTS OF DETROIT PC

Active
Parent organization
ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
Authorized official
JAMIE JOHNSON (CREDENTIALING COORDINATOR)
(586) 710-2307
Entity
Organization

Contact information

Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 779-7748
Mailing address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 779-7748

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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