Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopedic Trauma Specialist PLLC

Organization Orthopaedic Trauma Physician · NPI 1457581183

Orthopedic Trauma Specialist PLLC is an Orthopaedic Trauma Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (248) 697-9839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 012323 (MI)

Record details

NPI number1457581183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Hoy — Billing Manager · (248) 697-9839
NPI enumeratedJuly 15, 2009
Last updated in NPPESJuly 15, 2009
Mailing addressPo Box 737, Farmington, MI 48332-0737

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