Organization
MICHIGAN ORTHOPEDIC & SPINAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A SCOTT DO (PRESIDENT)
(586) 336-7333
Entity
Organization
Contact information
Practice address
12150 30 MILE RD, SUITE 105, WASHINGTON TWP, MI 48095
(586) 336-7333
(586) 336-7332
Mailing address
12150 30 MILE RD, SUITE 105, WASHINGTON TWP, MI 48095
(586) 336-7333
(586) 336-7332
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013195
MI
Other
Enumeration date
04/11/2008
Last updated
06/23/2014
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