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Organization
MILLENNIUM MEDICAL GROUP WEST P.C.
Active
Organization
MILLENNIUM MEDICAL GROUP WEST P.C.
Active
Other names
millennium west physical therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LUANNE NEELY (MEDICAL)
(734) 462-2700
Entity
Organization
Contact information
Practice address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150-3896
(734) 462-2700
Mailing address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150-3896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30783
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/23/2007
Last updated
05/19/2008
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