Bay Street Orthopaedics Pllc

NPI 1003147885 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1003147885
Enumeration Date 01/19/2010
Last Updated 09/04/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK R MARK
Position DIRECT OWNER
Phone (231) 347-5155
Fax (231) 347-6128
Practice Location
4048 CEDAR BLUFF DR
STE 1
PETOSKEY MI, 49770-8895, US
Phone (231) 347-5155
Fax (231) 347-6128
Business Location
4048 CEDAR BLUFF DR STE 1
PO BOX 430
PETOSKEY MI, 49770-8895, US
Phone (231) 347-5155
Fax (231) 347-6128
Toxanomy
Taxonomy Code 207X00000X
License State
License Number
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According to our database, Bay Street Orthopaedics Pllc NPI is 1003147885, taxonomy code is 207X00000X Bay Street Orthopaedics Pllc physically located at 4048 Cedar Bluff Dr, Petoskey MI, 49770-8895. NPI Number 1033115704 has the healthcare provider type.

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1003147885 NPI number is provided on an as is basis without warranty of any kind. 1003147885 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Street Orthopaedics Pllc are for informational purposes only.