Organization
EASTPOINTE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC A CUSUMANO III M.D. (PRESIDENT)
(586) 573-6669
Entity
Organization
Contact information
Practice address
42536 HAYES RD, SUITE 100, CLINTON TWP, MI 48038-6766
(586) 286-9644
(586) 286-9647
Mailing address
28295 SCHOENHERR RD, SUITE C, WARREN, MI 48088-4300
(586) 573-6669
(576) 573-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407063
MI
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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