Michael  A  Cosgrove    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000347
NPI
1750459616
Tax ID
631210156
Effective Date
12/1/2015
Last Updated
9/22/2022
Direct Contract
Yes
Term Date
9/1/2022
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_486
Location Details
Address
927 Franklin Street Southeast
Huntsville, AL 35801
United States
County
Madison
Phone
2565392728 (Phone)
Billing Details
Address
927 Franklin Street Southeast
Huntsville, AL 35801
Billing Phone
2565392728
Specialty Type
Pain Management
Map
Address