Organization
BAY STREET ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R MCMURRAY MD (DIRECT OWNER)
(231) 347-5155
Entity
Organization
Contact information
Practice address
14715 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
(231) 347-5155
(231) 347-6128
Mailing address
PO BOX 430, PETOSKEY, MI 49770-0430
(231) 347-5155
(231) 347-6128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/22/2010
Last updated
09/04/2012
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