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NPI Provider: 1366448037
Contact Name: Detrisac A David
Position: President
Phone: (517) 394-3200
East Lansing Orthopedic Assoiciation, P.c. Information:
East Lansing Orthopedic Assoiciation, P.c. organization have npi 1366448037, taxonomy code is 174400000X with license number is 310020 in . This Business address located in 3394 E Jolly Rd, Lansing, MI 48910 Michigan. Get directions of East Lansing Orthopedic Assoiciation, P.c..
Practice Location
Address: 3394 E Jolly Rd, Lansing, MI 48910
Phone: (517) 394-3200
Business Location
Address: 3394 E Jolly Rd, Lansing, MI 48910
Phone: (517) 394-3200
Fax: (517) 394-4250
Taxonomy
Taxonomy Code: 174400000X
License Number: 310020
License Number of State: MI
Primary Taxonomy Switch: Y
Enumeration Date: 6/27/2005
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