Organization
MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W EASTON M.D, (MEDICAL DIRECTOR)
(248) 215-8095
Entity
Organization
Contact information
Practice address
1555 SOUTH BLVD E, SUITE 310, ROCHESTER HILLS, MI 48307-5605
(248) 215-8080
(248) 289-1086
Mailing address
1555 SOUTH BLVD E, SUITE 310, ROCHESTER HILLS, MI 48307-5605
(248) 215-8080
(248) 289-1086
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301051364
MI
207X00000X
Orthopaedic Surgery Physician
4301054228
MI
207X00000X
Orthopaedic Surgery Physician
4301075858
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
4301087222
MI
332900000X
Non-Pharmacy Dispensing Site
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Other
Enumeration date
07/11/2012
Last updated
05/06/2024
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