Organization
ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BROWN (MANAGER)
(734) 464-0440
Entity
Organization
Contact information
Practice address
39000 7 MILE RD STE 2500, LIVONIA, MI 48152-1006
(734) 464-0400
(734) 464-0404
Mailing address
37669 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 464-0400
(734) 464-0404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H21901
BLUE CROSS
MI
Enumeration date
07/16/2006
Last updated
01/09/2025
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