# PREMIER PHYSICAL MEDICINE AND REHABILITATION OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier PM&R
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093287971
- **Authorized official:** NANCY MARIE DESANTIS D.O. (PARTNER)
- **Authorized official phone:** (248) 809-1227

## Contact information

- **Practice address:** 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
- **Practice address phone:** (248) 275-8571
- **Mailing address:** 33717 WOODWARD AVE \# 416, BIRMINGHAM, MI 48009-0913
- **Mailing address phone:** (248) 809-1227
- **Mailing address fax:** (248) 809-1228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 03/03/2024