OrganizationActive
Michigan Center for Orthopedic Surgery PLC
NPI 1003079344 · Orthopaedic Surgery Physician · Fenton, MI
Provider details
- NPI number
- 1003079344
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shivajee Nallamothu, Owner(248) 620-2325
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17200 Silver Pkwy
Fenton, MI 48430-3423
Phone: (810) 714-9660
Fax: (810) 714-9661
Approximate (ZIP-level) locationGet directions
Mailing address
5701 Bow Pointe Dr
Clarkston, MI 48346-3198
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2012-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.