NPI 1003079344
Michigan Center for Orthopedic Surgery Plc
Practice location
- Address
- 17200 Silver Pkwy, Fenton, MI 48430-3423
- Phone
- (810) 714-9660
- Fax
- (810) 714-9661
- Mailing address
- 5701 Bow Pointe Dr STE 300, Clarkston, MI 48346-3198
Authorised official
- Name
- Shivajee V Nallamothu
- Title
- Owner
- Phone
- (248) 620-2325
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1003079344
- Entity type
- Organization
- NPI issued
- 8 Jul 2008
- Record last updated
- 8 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.