Organization
PERFORMANCE ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GUETTLER M.D (OWNER)
(248) 988-8085
Entity
Organization
Contact information
Practice address
24255 W 13 MILE RD, SUITE 100, BINGHAM FARMS, MI 48025-4320
(248) 988-8085
(248) 988-8565
Mailing address
24255 W 13 MILE RD, SUITE 100, BINGHAM FARMS, MI 48025-4320
(248) 988-8085
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32158
GROUP BCBS
—
01
—
2006328361
JURIST BCBS
—
01
—
2006344541
GUETTLER BCBS
—
01
—
200634970
BAK BCBS
—
Enumeration date
10/19/2006
Last updated
02/20/2013
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