NPI 1215240502

Michigan Rehabilitation Physicians

Organisation Physical Medicine & Rehabilitation Physician Detroit, MI

Practice location

Address: 17187 Schaefer Hwy, Detroit, MI 48235-4132
Phone: (313) 367-2767
Fax: (313) 367-2818
Mailing address: PO Box 93, Fraser, MI 48026-0093

Authorised official

Name: Peter Hanna Gumma
Title: Owner
Phone: (313) 367-2767

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4301086814 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1215240502
Entity type: Organization
NPI issued: 15 Jul 2010
Record last updated: 24 Apr 2020

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.