Organization
ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE JOHNSON (CREDENTIALING MANAGER)
(586) 710-2307
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 120, SHELBY TOWNSHIP, MI 48315-3140
(586) 412-1411
(586) 412-4626
Mailing address
50505 SCHOENHERR RD, SUITE 120, SHELBY TOWNSHIP, MI 48315-3140
(586) 412-1411
(586) 412-4626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200E076460
BCBSM PIN
MI
Enumeration date
11/19/2007
Last updated
05/22/2025
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