NPI 1003147885 · live from the CMS NPI Registry
Bay Street Orthopaedics PLLC
Durable Medical Equipment & Medical Supplies in Petoskey, MI. National Provider Identifier 1003147885, active.
NPI record
| NPI | 1003147885 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Durable Medical Equipment & Medical Supplies 332B00000X |
| Practice location | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770 |
| Practice phone | 231-347-5155 |
| Mailing address | 4048 Cedar Bluff Dr Ste 1, Po Box 430, Petoskey, MI 49770 |
| Enumerated | January 19, 2010 |
| Last updated | September 4, 2012 |
| Authorized official | Mark Mcmurray, Direct Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | — |
| Durable Medical Equipment & Medical Supplies primary | 332B00000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.