MEDICARE: ORTHOPEDIC SPECIALISTS OF OAKLAND COUNTY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1720200140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC SPECIALISTS OF OAKLAND COUNTY, P.C.

Provider Business Mailing Address
First Line	:	44555 WOODWARD
Second Line	:	SUITE 105
City	:	PONTIAC
State	:	MI
Zip	:	48348
Country	:	US
Telephone Number	:	248-335-2977
Fax Number	:	248-858-3880

Provider Business Practice Location Address
First Line	:	44038 WOODWARD AVE STE 200
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5037
Country	:	US
Telephone Number	:	248-335-2977
Fax Number	:	248-712-4939

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAFA S. KASSAB
Credential	:	M.D.
Telephone Number	:	248-335-2977

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	03/09/2023

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