Organization
COMMUNITY ORTHOPEDIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA D BOLTON (BILLING MANAGER)
(734) 712-0635
Entity
Organization
Contact information
Practice address
420 W RUSSELL ST, SUITE 109, SALINE, MI 48176-1160
(734) 429-1540
(734) 429-1543
Mailing address
420 W RUSSELL ST, SUITE 109, SALINE, MI 48176-1160
(734) 429-1540
(734) 429-1543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/22/2007
Last updated
12/21/2009
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