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Organization

ORTHOPEDIC SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL YURKANIN DO (PRESIDENT - PHYSICIAN)
(734) 675-2640
Entity
Organization

Contact information

Practice address
5400 FORT STREET, SUITE 150, TRENTON, MI 48183
(734) 675-2640
(734) 675-2812
Mailing address
5400 FORT STREET, SUITE 150, TRENTON, MI 48183
(734) 675-2640
(734) 675-2812

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121478
PREFERRED CHOICES
01
14822
M CARE
01
2088201164
BCN
01
4038287
AETNA
01
48781
OMNI
01
763306
PENNSYLVANIA BCBS
01
7914
CAPE
01
821202
PRO CARE
Enumeration date
12/12/2006
Last updated
10/29/2007
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