Organization
FAMILY ORTHOPEDIC ASSOCIATES P L C
Active
Other names
OrthoMichigan/OrthoMichigan Therapy Services, Orthomichigan
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KELSEY (OPERATIONS MANAGER)
(810) 733-1200
Entity
Organization
Contact information
Practice address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301407438
MI
207XS0106X
Orthopaedic Hand Surgery Physician
4301060974
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
4301060979
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
4301063943
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4301084379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215930490
—
MI
01
—
OB51156
BCBSM
MI
Enumeration date
10/02/2015
Last updated
10/30/2023
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