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
G1213 N. BALLENGER HWY, FLINT, MI 48504-4435
(810) 239-7475
(810) 239-7477
Mailing address
13450 FARMINGTON ROAD, LIVONIA, MI 48150-4207
(734) 513-8205
(734) 513-8219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3220750
—
MI
Enumeration date
12/27/2005
Last updated
12/14/2010
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