Organization
MICHIGAN SURGERY SPECIALISTS P.C.
Active
Parent organization
MICHIGAN SURGERY SPECIALISTS P.C.
Other names
Motus Rehablitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN SURGERY SPECIALISTS P.C.
Authorized official
MICHELE L KUDLOR (BILLING SUPERVISOR)
(586) 558-9705
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD STE 140, SHELBY TOWNSHIP, MI 48315
(586) 649-8853
Mailing address
11012 E 13 MILE RD STE 200, WARREN, MI 48093-2547
(586) 558-9705
(586) 558-9706
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30697
BCBS
MI
Enumeration date
07/02/2018
Last updated
05/04/2021
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