is a Pediatric Orthopaedic Surgery in Trenton, Michigan. practices all healthcare services and medical treatments related to Pediatric Orthopaedic Surgery. The NPI Number for is 1568671964. The last update date is .
's current location address is 1640 Fort Street, Trenton, Michigan. You can contact this provider via phone number 7343913057 and fax number 7343913052. The mailing address for is 1640 Fort Street, Trenton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1640 Fort Street, Trenton, Michigan |
| Phone Number | 7343913057 |
| Fax Number | 7343913052 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568671964 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1640 Fort Street |
|---|---|
| City | Trenton |
| State | Michigan (MI) |
| Post Code | 48183 |
| Phone Number | 7343913057 |
| Fax Number | 7343913052 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xp3100X |
| Licence No | 5101016780 |
|
Definition: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H28427 | MI | BLUE CROSS | |
| 1699102244 | MI | GROUP NPI HENRY FORD WYANDOTTE |
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