Organization
N'ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A BONNER (CLINIC MANAGER)
(989) 732-1753
Entity
Organization
Contact information
Practice address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
(989) 731-1425
Mailing address
2147 PROFESSIONAL DR, PO BOX 340, GAYLORD, MI 49735-0003
(989) 732-1753
(989) 731-1425
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356544
—
MI
05
—
1915384
—
MI
05
—
4389576
—
MI
05
—
4888932
—
MI
05
—
4945654
—
MI
01
—
C20677
RAILROAD MEDICARE
MI
01
—
CB0014
RAILROAD MEDICARE
MI
Enumeration date
12/07/2005
Last updated
02/27/2008
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