Organization
KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC
Active
Other names
KNEE AND ORTHOPAEDIC CENTER OF LAPEER PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GEORGE DESANTIS D.O. (PRESIDENT/ORTHOPAEDIC SURGEON)
(810) 664-3721
Entity
Organization
Contact information
Practice address
1245 N MAIN ST, LAPEER, MI 48446-1346
(810) 664-3721
(810) 664-3032
Mailing address
1245 N MAIN ST, LAPEER, MI 48446-1346
(810) 664-3721
(810) 664-3032
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D41009
BLUE CARE NETWORK GROUP
MI
01
—
200D410090
BCBSM GROUP NUMBER
MI
01
—
CH9880
TRAVELERS MEDICARE
MI
Enumeration date
05/18/2006
Last updated
04/30/2008
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