Organization
MICHIGAN ORTHOPEDIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CONDON (PRESIDENT/CEO)
(734) 513-8205
Entity
Organization
Contact information
Practice address
200 WOODLAND PASS, SUITE E, EAST LANSING, MI 48823-2000
(517) 333-0304
(517) 333-7074
Mailing address
13450 FARMINGTON ROAD, LIVONIA, MI 48150-4207
(734) 513-8205
(734) 293-0510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/13/2009
Last updated
12/17/2010
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