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Organization
ADVANCED PHYSICAL MEDICINE, P.C.
Active
Organization
ADVANCED PHYSICAL MEDICINE, P.C.
Active
Other names
Advanced Physical Medicine, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WILSON M.D. (OWNER)
(586) 563-3300
Entity
Organization
Contact information
Practice address
24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1231
(586) 563-3300
(586) 563-3313
Mailing address
24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1231
(586) 563-3300
(586) 563-3313
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
SW061846
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
SW061846
MI
Other
Enumeration date
07/20/2006
Last updated
07/23/2008
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