Whalio Doctors

NPI 1184297954

Renew Rehabilitative Medicine

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Southfield, MI

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
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X
Pain Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP3300X

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.