Organization
MOVEMENT ORTHOPEDICS
Active
Organization
MOVEMENT ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JOHN CARROLL (OWNER)
(586) 436-3785
Entity
Organization
Contact information
Practice address
36555 26 MILE RD STE 2400, LENOX, MI 48048-3187
(586) 436-3785
Mailing address
43475 DALCOMA DR STE 250, CLINTON TOWNSHIP, MI 48038-3594
(586) 436-3785
(833) 972-5451
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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