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Organization

THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC

Active
Other names
The CORE Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MARKEL MD (MARKET PRESIDENT, MICHIGAN)
(866) 974-2673
Entity
Organization

Contact information

Practice address
4442 GENESYS PKWY, GRAND BLANC, MI 48439-8072
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MI
335E00000X
Prosthetic/Orthotic Supplier
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000
MI
Enumeration date
03/02/2015
Last updated
08/16/2021
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