Greater Flint Sports Medicine Center Pc | |
861 Health Park Blvd, Grand Blanc, MI 48439 | |
(810) 953-0500 | |
(810) 953-0031 |
Full Name | Greater Flint Sports Medicine Center Pc |
---|---|
Type | Facility |
Speciality | Orthopaedic Surgery |
Location | 861 Health Park Blvd, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265459150 | NPI | - | NPPES |
30610 | Other | MI | BLUE CROSS PHYS THERAPY |
200B547370 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Provider Name | Tudor R Tien |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033101225 PECOS PAC ID: 1759350432 Enrollment ID: I20040930000412 |
Provider Name | James Heming |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992734586 PECOS PAC ID: 5890767446 Enrollment ID: I20050321000422 |
Provider Name | Todd A Sandrock |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1235131541 PECOS PAC ID: 2264535103 Enrollment ID: I20080613000578 |
Provider Name | Matthew Carl Sardelli |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992992705 PECOS PAC ID: 3779636816 Enrollment ID: I20100916000650 |
Provider Name | Amir Kianoosh M Fallahi |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1801053996 PECOS PAC ID: 2264681733 Enrollment ID: I20120927000775 |
Provider Name | Matthew J Marquart |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1164610960 PECOS PAC ID: 8426227372 Enrollment ID: I20121018000314 |
Provider Name | Ryan Allen Nelson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1093009979 PECOS PAC ID: 8820318041 Enrollment ID: I20170519001831 |
Mailing Address | Practice Location Address |
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Greater Flint Sports Medicine Center Pc 861 Health Park Blvd, Grand Blanc, MI 48439-7383 Ph: (810) 953-0500 | Greater Flint Sports Medicine Center Pc 861 Health Park Blvd, Grand Blanc, MI 48439 Ph: (810) 953-0500 |