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Organization

MONTCALM CENTER FOR ORTHOPEDIC EXCELLENCE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JILL PANIAN (BILLING MANAGER)
(616) 780-5038
Entity
Organization

Contact information

Practice address
500 S MAIN ST, SUITE A, SHERIDAN, MI 48884-9775
(616) 780-5038
(888) 592-7204
Mailing address
PO BOX 737, ROCKFORD, MI 49341-0737
(616) 780-5038
(888) 592-7204

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101011651
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E90117
BCBS
MI
Enumeration date
04/24/2007
Last updated
08/14/2015
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