Organization
DWIGHT ORTHO - WEST BLOOMFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWYN SWARTZ (CORPORATE ADMINISTRATOR)
(586) 412-2846
Entity
Organization
Contact information
Practice address
7115 ORCHARD LAKE RD, SUITE 100, WEST BLOOMFIELD, MI 48322-3678
(248) 855-9009
(248) 855-8460
Mailing address
42615 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1653
(586) 412-2845
(586) 416-1497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30370
BC/BS
—
Enumeration date
07/21/2005
Last updated
04/22/2011
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