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Organization
ADVANCED BODY MEDICAL PC
Active
Organization
ADVANCED BODY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH KENDAL LORANGER (BILLING MGR/TREASURER)
(734) 740-5148
Entity
Organization
Contact information
Practice address
125 W COLUMBIA AVE, BELLEVILLE, MI 48111-2719
(734) 697-4244
(734) 697-8102
Mailing address
125 W COLUMBIA AVE, BELLEVILLE, MI 48111-2719
(734) 697-4244
(734) 697-8102
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
02/21/2024
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