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Organization
RENEW SPINE AND REHAB INC
Active
Organization
RENEW SPINE AND REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN GLAZER (COO)
(248) 353-2225
Entity
Organization
Contact information
Practice address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 353-2225
(248) 353-2239
Mailing address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 353-2225
(248) 353-2239
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
NULL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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