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General NPI Number Information
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NPI Number | 1811562184
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Entity Type | Organization
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Legal Business Name | MICHIGAN ORTHOPAEDIC SURGEONS PLLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 4967 CROOKS RD STE 100
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City | TROY
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State | MI
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Zip | 48098-5812
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Country | US
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Telephone | 248-509-9700
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Fax | 248-509-9701
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Provider Business Mailing Address
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Address Line | 26211 CENTRAL PARK BLVD STE 201
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City | SOUTHFIELD
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State | MI
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Zip | 48076-4157
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Country | US
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Telephone | 248-714-1635
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Fax | 248-327-6144
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MARY TUJAKA
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Credential |
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Telephone | 248-714-1625
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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