# MEDICAL REHABILITATION GROUP PC

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

## Provider details

- **NPI number:** 1700833563
- **Authorized official:** MR. RICHARD JAY KOVAN M.D. (PHYSICIAN)
- **Authorized official phone:** (810) 606-7181

## Contact information

- **Practice address:** 4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
- **Practice address phone:** (810) 606-7181
- **Practice address fax:** (810) 606-5803
- **Mailing address:** 4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
- **Mailing address phone:** (810) 606-7181
- **Mailing address fax:** (810) 606-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301055356 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301072856 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5101011645 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5101011977 | MI | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 02/04/2009