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NPI Code Detail

MEDICARE: B.C. ORTHOPAEDIC CLINIC, PLLC

MEDICARE: B.C. ORTHOPAEDIC CLINIC, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10A361050OTHERMIBLUE SHIED

General Provider Information

NPI Number : 1588662415
Entity Type Code : Organization
Provider Name (Legal Business Name) : B.C. ORTHOPAEDIC CLINIC, PLLC
Provider Business Mailing Address
First Line : 710 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3258
Country : US
Telephone Number : 269-969-6251
Fax Number : 269-969-6283
Provider Business Practice Location Address
First Line : 710 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3258
Country : US
Telephone Number : 269-969-6251
Fax Number : 269-969-6283
Authorized Official
Title or Position : PARTNER
Name : WILLIAM J COMAI
Credential : DO
Telephone Number : 269-969-6251
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/21/2022

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