Summit Bone & Joint, Pllc

NPI #1891783981 in Hermitage, Tennessee

Provider Information

NPI Number: 1891783981
Entity Type: Organization
Organization Name: Summit Bone & Joint, Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 12, 2005
Last Updated: Mar 2, 2009

Practice Location

Address: 5653 FRIST BLVD
Address 2: SUITE 731
City: Hermitage
State: Tennessee
ZIP Code: 37076
Phone: (615) 232-3838

Authorized Official

Name: DR. MICHAEL S. LADOUCEUR, MD
Title: GENERAL MANAGER
Phone: (615) 232-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery	207X00000X	Primary

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