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General NPI Number Information
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NPI Number | 1134082357
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Entity Type | Organization
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Legal Business Name | MOTOR CITY ORTHOPEDICS AND SPORTS MEDICINE INSTITUTE PLLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY STE 260
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City | NOVI
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State | MI
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Zip | 48374-1256
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Country | US
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Telephone | 248-465-5140
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Fax |
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Provider Business Mailing Address
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Address Line | 26850 PROVIDENCE PKWY STE 260
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City | NOVI
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State | MI
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Zip | 48374-1256
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Country | US
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Telephone | 248-465-5140
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD FRUSH
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Credential | MD
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Telephone | 248-465-5140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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