Organization
INTEGROWTH ORTHOPEDIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY G FITZGERALD (PRACTICE MANAGER)
(248) 347-2435
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 355, NOVI, MI 48374-1213
(248) 347-2435
(248) 347-3608
Mailing address
26850 PROVIDENCE PKWY, SUITE 355, NOVI, MI 48374-1213
(248) 347-2435
(248) 347-3608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710061130
PRACTICE NPI
—
01
—
200F318000
BCBSM PRACTICE PIN
MI
Enumeration date
10/24/2006
Last updated
01/14/2010
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