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General NPI Number Information
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NPI Number | 1841217627
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 39000 7 MILE RD STE 2500
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City | LIVONIA
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State | MI
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Zip | 48152-1006
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Country | US
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Telephone | 734-464-0400
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Fax | 734-464-0404
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Provider Business Mailing Address
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Address Line | 37669 PEMBROKE AVE
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City | LIVONIA
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State | MI
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Zip | 48152-1050
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Country | US
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Telephone | 734-464-0400
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Fax | 734-464-0404
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Authorized Official
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Title or Position | MANAGER
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Name | SARAH BROWN
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Credential |
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Telephone | 734-464-0440
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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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