Organization
MOVEMENT ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JOHN CARROLL D.O. (PRESIDENT)
(586) 436-3785
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR, SUITE #160, CLINTON TOWNSHIP, MI 48038-3591
(586) 436-3785
Mailing address
43475 DALCOMA DR, SUITE #160, CLINTON TOWNSHIP, MI 48038-3591
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
02/03/2016
Last updated
07/09/2024
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