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Organization
PHYSICAL MEDICINE, P.C.
Active
Organization
PHYSICAL MEDICINE, P.C.
Active
Other names
Jack Belen, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK G. BELEN M.D. (PRESIDENT)
(248) 365-6661
Entity
Organization
Contact information
Practice address
20307 W 12 MILE RD, STE. 102, SOUTHFIELD, MI 48076-5407
(248) 356-6661
(248) 356-6619
Mailing address
20307 W. 12 MILE, STE. 102, SOUTHFIELD, MI 48076
(248) 356-6661
(248) 356-6619
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042374
MI
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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