Organization
FREMONT ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRILYNNE GERTH (OFFICE MANAGER)
(231) 924-1266
Entity
Organization
Contact information
Practice address
1401 W MAIN ST, SUITE 100, FREMONT, MI 49412-1472
(616) 608-5285
Mailing address
1401 W MAIN ST, SUITE 100, FREMONT, MI 49412-1472
(616) 608-5285
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PG054112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4992805
—
MI
Enumeration date
04/03/2007
Last updated
07/15/2015
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