Sjmhs Livingston Orthopedic Surgical Group
Orthopaedic Surgery, Orthopaedic Trauma in Ypsilanti, MI. Organization (NPI-2).
NPI number1417469453
StatusActive
Last updated in NPPESOct 31, 2017
Details
- NPI
- 1417469453
- Entity type
- Organization (NPI-2)
- Legal business name
- Sjmhs Livingston Orthopedic Surgical Group
- Organization subpart
- Yes
- Enumeration date
- Oct 31, 2017
- Last updated
- Oct 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | – | – | Yes |
Other names
- Ortho Trauma St Joes-Aa (Doing Business As)
Practice location
5315 Elliot DrSuite 304
Ypsilanti, MI 48197
Phone 734-712-0655 · Fax 734-712-0611
Mailing address
7575 Grand River Rd Ste 114Brighton, MI 48114-9390
Phone 810-844-7785 · Fax 810-844-7567
Authorized official
Michael Gusho
Rhm Cfo Semi
7343980642
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