NPI 1083686083 · live from the CMS NPI Registry
Associated Orthopedists Of Detroit PC
Orthopaedic Surgery in St Clair Shores, MI. National Provider Identifier 1083686083, active.
NPI record
| NPI | 1083686083 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 |
| Practice phone | 586-779-7970 |
| Mailing address | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080 |
| Enumerated | February 3, 2006 |
| Last updated | May 22, 2025 |
| Authorized official | Jamie Johnson, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.