NPI 1376565994

Jack G Belen, MD

Practitioner Physical Medicine & Rehabilitation Physician Southfield, MI

Practice location

Address: 20307 West 12 Mile Road Suite 102, Southfield, MI 48076
Phone: (248) 356-6661
Fax: (248) 356-6619

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence JB042374 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1376565994
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 8 Jul 2007

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.