# GREAT LAKES PHYSICAL MEDICINE & REHABILITATION PC

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

## Provider details

- **NPI number:** 1346447026
- **Authorized official:** DR. ANNE M ABRAHAMSON MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (734) 287-3000

## Contact information

- **Practice address:** 3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
- **Practice address phone:** (734) 287-3000
- **Practice address fax:** (734) 287-3113
- **Mailing address:** 3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
- **Mailing address phone:** (734) 287-3000
- **Mailing address fax:** (734) 287-3113

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/12/2022