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Organization
UZNIS-DWIGHT PHYSICAL THERAPY PC
Active
Organization
UZNIS-DWIGHT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HOWARD DWIGHT PT (PRESIDENT)
(248) 866-4364
Entity
Organization
Contact information
Practice address
18101 E WARREN AVE, DETROIT, MI 48224-1382
(313) 881-5678
(313) 881-9337
Mailing address
42615 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1653
(586) 412-2845
(586) 416-1497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094960002
—
MI
01
—
30392
BCBSM
MI
Enumeration date
03/14/2008
Last updated
08/14/2012
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