Organization
TEAM ORTHOPEDIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR LEWIS III C.O. (OWNER)
(313) 408-9599
Entity
Organization
Contact information
Practice address
16988 FARMINGTON RD, LIVONIA, MI 48154-2973
(313) 408-9599
Mailing address
16988 FARMINGTON RD, LIVONIA, MI 48154-2973
(313) 408-9599
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO0004213
MI
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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