Organization
MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W EASTON MD (MEDICAL DIRECTOR)
(248) 215-8095
Entity
Organization
Contact information
Practice address
29624 WOODWARD AVE, ROYAL OAK, MI 48073-0905
(248) 215-8080
(248) 289-1085
Mailing address
1555 SOUTH BLVD E, SUITE 310, ROCHESTER HILLS, MI 48307-5605
(248) 215-8095
(248) 289-1086
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301051364
MI
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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