NPI 1184297954
Renew Rehabilitative Medicine
Practice location
- Address
- 24725 W 12 Mile Rd STE 260, Southfield, MI 48034-8310
- Phone
- (248) 382-8052
Authorised official
- Name
- Morgan Glazer
- Title
- Authorized Official
- Phone
- (248) 550-4800
Registered specialties (2)
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Pain Clinic/Center
Registry record
- NPI
- 1184297954
- Entity type
- Organization
- NPI issued
- 20 Jul 2021
- Record last updated
- 20 May 2022
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.