| Christopher Minnock, MD | |
|
30575 Woodward Ave, Royal Oak, MI 48073-0980 | |
| (248) 280-8550 | |
| (248) 280-8571 |
| Full Name | Christopher Minnock |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 30575 Woodward Ave, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689962342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 4301110881 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 4301110881 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Entity Name | Michigan Orthopaedic Surgeons Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Minnock, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Christopher Minnock, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 |
Dr. David M Montgomery, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8567 | |
Justin Taylor Deslaurier, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Dr. Mark Edward Jacobson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave Ste 100, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8571 | |
Robert Scott Dean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Jacob Kasper, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kaleb Howard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kimberly Les, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Ste. 402, Royal Oak, MI 48073 Phone: 248-551-9910 |