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Organization

PRECISION ORTHOPEDICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM A. ATHENS JR. D. O. (PRESIDENT)
(734) 782-7003
Entity
Organization

Contact information

Practice address
25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
(734) 782-7003
(734) 782-7005
Mailing address
25755 TELEGRAPH RD, BROWNSTOWN TWP, MI 48134-1013
(734) 782-7003
(734) 782-7005

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5101011454
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396142287
IND NPI
01
1538198700
GROUP NPI
MI
01
1568433191
IND NPI
01
1982727756
IND NPI
01
200H234470
BCBS GROUP PIN
MI
01
2058214234
BCBS
05
4891150
MI
Enumeration date
07/01/2006
Last updated
04/07/2016
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