NPI 1043496250

Physical Medicine, P.C.

Organisation Physical Medicine & Rehabilitation Physician Southfield, MI

Practice location

Address: 20307 W 12 Mile Rd STE. 102, Southfield, MI 48076-5407
Phone: (248) 356-6661
Fax: (248) 356-6619
Mailing address: 20307 W. 12 Mile STE. 102, Southfield, MI 48076

Authorised official

Name: Jack G. Belen
Title: President
Phone: (248) 365-6661

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 042374 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1043496250
Entity type: Organization
NPI issued: 17 Jan 2008
Record last updated: 17 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.