Organization
ORTHOPAEDIC SURGERY ASSOCIATES OF MARQUETTE PC
Active
Other names
Advanced Center for Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NEWBERG SONGER MD (PRESIDENT)
(906) 225-1321
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Mailing address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301050335
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
4301050335
MI
335E00000X
Prosthetic/Orthotic Supplier
4301050335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26013
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/09/2006
Last updated
01/02/2014
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