Organization
MID-MICHIGAN SPECIALTY CLINICS PLLC
Active
Other names
Pediatric Orthotics and Prosthetics of Grand Blanc
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICK CONLEY (CEO)
(810) 498-4770
Entity
Organization
Contact information
Practice address
8203 S SAGINAW ST STE E, GRAND BLANC, MI 48439-2434
(810) 498-4770
Mailing address
8203 S SAGINAW ST STE E, GRAND BLANC, MI 48439-2434
(810) 498-4770
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
03/06/2025
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