# ADVANCED PHYSICAL MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Physical Medicine, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932129319
- **Authorized official:** DR. STEPHEN WILSON M.D. (OWNER)
- **Authorized official phone:** (586) 563-3300

## Contact information

- **Practice address:** 24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1231
- **Practice address phone:** (586) 563-3300
- **Practice address fax:** (586) 563-3313
- **Mailing address:** 24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1231
- **Mailing address phone:** (586) 563-3300
- **Mailing address fax:** (586) 563-3313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | SW061846 | MI | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | SW061846 | MI | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 07/23/2008