# MICHIGAN REHABILITATION PHYSICIANS

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

## Provider details

- **NPI number:** 1215240502
- **Authorized official:** DR. PETER HANNA GUMMA MD (OWNER)
- **Authorized official phone:** (313) 367-2767

## Contact information

- **Practice address:** 17187 SCHAEFER HWY, DETROIT, MI 48235-4132
- **Practice address phone:** (313) 367-2767
- **Practice address fax:** (313) 367-2818
- **Mailing address:** PO BOX 93, FRASER, MI 48026-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301086814 | MI | Yes |

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 04/24/2020