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Organization

MICHIGAN ORTHOPEDIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE CONDON (PRESIDENT/CEO)
(734) 513-8205
Entity
Organization

Contact information

Practice address
30021 GREENFIELD RD., SUITE 200, SOUTHFIELD, MI 48076-1528
(248) 723-5452
(248) 723-5495
Mailing address
13450 FARMINGTON ROAD, LIVONIA, MI 48150-4207
(734) 513-8205
(734) 293-0510

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3220750
MI
Enumeration date
03/18/2008
Last updated
12/16/2010
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