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Organization

CAPITAL ORTHOPAEDIC CLINIC, PLLC

Active
Other names
Capital Orthopaedic & Sports Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL G DULSKE MD (MANAGING OWNER)
(601) 987-8200
Entity
Organization

Contact information

Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
PO BOX 30594, CHARLOTTE, NC 28230-0594
(601) 987-8200
(601) 987-8211

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13058
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09012262
MS
Enumeration date
09/11/2006
Last updated
10/16/2019
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