Organization
DETROIT ORTHOPEDICS & SPORTS MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NZOMA (CEO)
(313) 319-6858
Entity
Organization
Contact information
Practice address
27207 LAHSER RD STE 250, SOUTHFIELD, MI 48034-2168
(248) 595-8518
Mailing address
PO BOX 145, NOVI, MI 48376-0145
(313) 319-6858
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/30/2022
Last updated
03/08/2024
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