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Organization
MICHIGAN INSTITUTE FOR HUMAN PERFORMANCE INC
Active
Organization
MICHIGAN INSTITUTE FOR HUMAN PERFORMANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN MCLAUGHLIN (OWNER)
(248) 269-0230
Entity
Organization
Contact information
Practice address
2265 LIVERNOIS RD, SUITE 700, TROY, MI 48083-1633
(248) 269-0230
(248) 269-0231
Mailing address
2265 LIVERNOIS RD, SUITE 700, TROY, MI 48083-1633
(248) 269-0230
(248) 269-0231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F397060
BLUE CROSS
MI
Enumeration date
09/20/2006
Last updated
10/07/2011
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