Organization
MONTCALM CENTER FOR ORTHOPEDIC EXCELLENCE PC
Active
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
Update your record
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