East Lansing Orthopedic Assoiciation, P.c.

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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..

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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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