NORTHLAND ORTHOPEDIC GROUP NPI 1891717351

NPI Information

NORTHLAND ORTHOPEDIC GROUP is a specialist in Florissant, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHLAND ORTHOPEDIC GROUP NPI is 1891717351. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northland Midamerica Orthopedics.

The provider's business location address is:

1150 GRAHAM RD
STE 102
FLORISSANT, MO
ZIP 63031-077
Phone: (314) 837-5555
Fax: (314) 837-6175

The provider's authorized official is Randall D Roush .
The authorized official title is President and has the following contact phone number (314) 837-5555.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 12/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.