Organization
JACKSON ORTHOPEDICS SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI BRAUTIGAM (OFFICE MANAGER)
(517) 780-9257
Entity
Organization
Contact information
Practice address
1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 49201-1847
(517) 787-3900
(517) 787-4318
Mailing address
1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 49201-1847
(517) 787-3900
(517) 787-4318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301084403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4670042
—
MI
Enumeration date
05/18/2007
Last updated
08/22/2020
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