NPI 1245727981
Specialists in Rehabilitation Medicine PC
Practice location
- Address
- 10 W Square Lake Rd STE 110, Bloomfield Hills, MI 48302-0466
- Phone
- (248) 335-9099
- Fax
- (248) 332-2404
Authorised official
- Name
- Brian Michael Roth
- Title
- President
- Phone
- (248) 650-5861
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1245727981
- Entity type
- Organization
- NPI issued
- 18 Apr 2018
- Record last updated
- 18 Apr 2018
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.