# EXCEL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134477912
- **Authorized official:** SUSAN RICE MD (OWNER)
- **Authorized official phone:** (734) 414-0754

## Contact information

- **Practice address:** 42928 VERSAILLES, CANTON, MI 48187-2344
- **Practice address phone:** (734) 414-0754
- **Practice address fax:** (734) 414-0769
- **Mailing address:** 2718 RIVER RD, MAUMEE, OH 43537-3737
- **Mailing address phone:** (734) 414-0754
- **Mailing address fax:** (734) 414-0769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35067035C | OH | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/27/2012
