OrganizationActive
Sjmhs Livingston Orthopedic Surgical Group
NPI 1417469453 · Orthopaedic Trauma Physician · Ypsilanti, MI
Provider details
- NPI number
- 1417469453
- Entity type
- Organization
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Sjmhs Livingston Orthopedic Surgical Gr
- Authorized official
- Michael Gusho, Rhm Cfo Semi
Practice location
5315 Elliot Dr
Suite 304
Ypsilanti, MI 48197
Phone: (734) 712-0655
Fax: (734) 712-0611
Mailing address
7575 Grand River Rd Ste 114
Brighton, MI 48114-9390
Registry dates
- Enumerated
- 2017-10-31
- Last updated
- 2017-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.