Organization
PORT HURON BONE AND JOINT SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D TRAVIS MD (OWNER)
(734) 451-9692
Entity
Organization
Contact information
Practice address
1985 GRATIOT BLVD, MARYSVILLE, MI 48040-2215
(734) 451-9692
(734) 451-9606
Mailing address
1330 CONGE DR, BLOOMFIELD HILLS, MI 48304-3005
(734) 451-9692
(734) 451-9606
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861002131
—
MI
Enumeration date
08/03/2020
Last updated
09/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up