| Organization Name: | ORTHOPEDIC ASSOCIATES OF PORT HURON, P.C. |
| NPI Number: | 1013068188 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILMONT R KREIS (GENERAL PARTNER) |
| Mailing Address: | 940 River Centre Dr Port Huron |
| State: | MI US |
| Postal Code: | 480604463 |
| Phone Number: | 8109854900 |
| Fax Number: | 8109853634 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 0519490001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |