| Organization Name: | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| NPI Number: | 1053758391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MARKEL (MANAGING PARTNER) |
| Mailing Address: | 26750 Providence Pkwy Ste 200 Novi |
| State: | MI US |
| Postal Code: | 483741211 |
| Phone Number: | 8669742673 |
| Fax Number: | 8669392673 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |