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Organization
GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION
Active
Organization
GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE ABRAHAMSON M.D. (OWNER PHYSICIAN)
(313) 304-4818
Entity
Organization
Contact information
Practice address
3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
(734) 287-3000
Mailing address
3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
(734) 287-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
078199
MI
Other
Enumeration date
05/30/2007
Last updated
03/15/2019
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