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Organization
SPECIALISTS IN REHABILITATION MEDICINE PC
Active
Organization
SPECIALISTS IN REHABILITATION MEDICINE PC
Active
Parent organization
SPECIALISTS IN REHABILITATION MEDICINE PC
Other names
SIRM Bloomfield Prescribing
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALISTS IN REHABILITATION MEDICINE PC
Authorized official
BRIAN MICHAEL ROTH (PRESIDENT)
(248) 650-5861
Entity
Organization
Contact information
Practice address
43344 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5014
(248) 335-9099
(248) 332-2404
Mailing address
10 W SQUARE LAKE RD STE 110, BLOOMFIELD HILLS, MI 48302-0466
(248) 335-9099
(248) 332-2404
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
09/23/2026
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