Healthcare Provider Details
I. General information
NPI: 1821276429
Provider Name (Legal Business Name): FLINT ORTHOPEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
G3169 BEECHER RD SUITE 101
FLINT MI
48532-3611
US
IV. Provider business mailing address
G3169 BEECHER RD SUITE 101
FLINT MI
48532-3611
US
V. Phone/Fax
- Phone: 810-232-6190
- Fax: 810-232-9348
- Phone: 810-232-6190
- Fax: 810-232-9348
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FREDERICK
C
SCHREIBER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 810-232-6190