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NPI Code Detail

MEDICARE: FRENCHTOWN ORTHOPEDIC GROUP PC

MEDICARE: FRENCHTOWN ORTHOPEDIC GROUP PC
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
1173000000XLegal MedicineA40131MI

General Provider Information

NPI Number : 1609953355
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRENCHTOWN ORTHOPEDIC GROUP PC
Provider Business Mailing Address
First Line : 1420 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4211
Country : US
Telephone Number : 734-241-0042
Fax Number : 734-384-0469
Provider Business Practice Location Address
First Line : 1420 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4211
Country : US
Telephone Number : 734-241-0042
Fax Number : 734-384-0469
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY EMMANUEL MELONAKOS
Credential : MD
Telephone Number : 734-241-0042
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/28/2010

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Directions to “FRENCHTOWN ORTHOPEDIC GROUP PC ” Practice Location

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