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Organization
MICHIGAN MANUAL PHYSICAL THERAPY PC
Active
Organization
MICHIGAN MANUAL PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYNARD BUSZEK M.D. (OWNER - CEO)
(866) 708-6678
Entity
Organization
Contact information
Practice address
28445 VAN DYKE AVE, WARREN, MI 48093-7132
(866) 708-6678
Mailing address
28445 VAN DYKE AVE, WARREN, MI 48093-7132
(866) 708-6678
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4301044005
MI
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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