Organization
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Active
Organization
MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
Active
Parent organization
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
Authorized official
DR. PAUL FORTIN MD (EXECUTIVE COMMITTEE MEMBER)
(248) 845-4381
Entity
Organization
Contact information
Practice address
29110 INKSTER RD STE 225A, SOUTHFIELD, MI 48034-1098
(248) 663-1900
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(248) 845-4381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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