Provider Demographics
NPI:1265525588
Name:ADVANCED ORTHOPEDIC SOLUTIONS, P.C.
Entity type:Organization
Organization Name:ADVANCED ORTHOPEDIC SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
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:STE H
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5425
Mailing Address - Country:US
Mailing Address - Phone:810-606-8766
Mailing Address - Fax:810-606-8770
Practice Address - Street 1:2240 E. HILL RD
Practice Address - Street 2:STE H
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5425
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:2006-09-30
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010069532251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0B51900OtherBCBSM
MI0P30320Medicare PIN
0B51900OtherBCBSM
MI650B514640OtherBCBSM-ANGUS
MI650B513700OtherBCBS- ROB
MIP30320001Medicare ID - Type UnspecifiedROB