MEDICARE: ORTHOPEDIC ASSOCIATES OF HOLLAND 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
1	207X00000X	Orthopaedic Surgery Physician	ER026640	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1831287333	OTHER	MI	PROVIDER NPI

General Provider Information

NPI Number	:	1962601245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC ASSOCIATES OF HOLLAND PC

Provider Business Mailing Address
First Line	:	18118 WARREN CREEK HWY
Second Line	:
City	:	PRESQUE ISLE
State	:	MI
Zip	:	49777-8353
Country	:	US
Telephone Number	:	989-595-2820
Fax Number	:	989-595-3437

Provider Business Practice Location Address
First Line	:	555 N BRADLEY HWY
Second Line	:	SUITE C
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-1539
Country	:	US
Telephone Number	:	989-595-2820
Fax Number	:	989-595-3437

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EARL S RHIND II
Credential	:	M.D.
Telephone Number	:	989-595-2820

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	08/09/2007

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