Organization
ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JOHN HALSTEAD III M.D. (VICE PRESIDENT)
(574) 282-1217
Entity
Organization
Contact information
Practice address
100 NAVARRE PL, SUITE 5500, SOUTH BEND, IN 46601-1156
(574) 282-1217
(574) 236-4884
Mailing address
100 NAVARRE PL, SUITE 5500, SOUTH BEND, IN 46601-1156
(574) 282-1217
(574) 236-4884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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