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General NPI Number Information
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NPI Number | 1700239415
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Entity Type | Organization
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Legal Business Name | MENDELSON ORTHOPEDICS PC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5504 E 12 MILE RD STE 200
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City | WARREN
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State | MI
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Zip | 48092-4637
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Country | US
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Telephone | 586-261-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 5504 E 12 MILE RD STE 200
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City | WARREN
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State | MI
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Zip | 48092-4637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DAVID MENDELSON
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Credential | MD
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Telephone | 586-439-6258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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