Organization
BAY STREET ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH PHILLIPS (BILLING MANAGER)
(231) 622-6521
Entity
Organization
Contact information
Practice address
1050 S OTSEGO AVE, GAYLORD, MI 49735-9171
(231) 347-5155
Mailing address
4048 CEDAR BLUFF DR STE 1, PETOSKEY, MI 49770-8895
(231) 622-6521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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