NILES ORTHOPEDICS, P.C.
Medical Practice at Longmeadow Village Dr, Niles, MI

License number
Michigan 5101007545
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DR. JAMES MICHAEL GRANNELL D.O.
Title: PRESIDENT
Phone: (269) 684-3028
Address
Address
6 Longmeadow Village Dr SUITE 1, Niles, MI 49120
National Provider ID: 1073701462
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NILES ORTHOPEDICS, PC

Niles, MI

Status:
Inactive
Registration:
Jul 1, 1984
Addresses:
1855 W Chicago Rd, Niles, MI 49120 (Physical)
Michigan (Mailing)
State ID:
212256
Business type:
Domestic Professional Service Corporation
Expiration:
10-3-2012
Agent:
James M. Grannell, D.o

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