Provider Demographics
NPI:1093049843
Name:ADVANCED ORTHOPEDIC SOLUTIONS, PC
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDIC SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:810-606-8766
Mailing Address - Street 1:2240 E HILL RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5420
Mailing Address - Country:US
Mailing Address - Phone:810-606-8766
Mailing Address - Fax:810-606-8770
Practice Address - Street 1:1140 S LINDEN RD
Practice Address - Street 2:BLDG A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3437
Practice Address - Country:US
Practice Address - Phone:810-606-8766
Practice Address - Fax:810-606-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006953261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP30320001Medicare PIN
MI0P30320Medicare PIN