Organization
MICHIGAN DIZZINESS AND BALANCE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRENDRA DANU O.T.R (VICE PRESIDENT)
(734) 246-4900
Entity
Organization
Contact information
Practice address
1848 BIDDLE AVE, SUITE 102, WYANDOTTE, MI 48192-3962
(734) 246-4900
(734) 246-4920
Mailing address
1848 BIDDLE AVE, SUITE 102, WYANDOTTE, MI 48192-3962
(734) 246-4900
(734) 246-4920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501005873
MI
225100000X
Physical Therapist
5501007669
MI
225X00000X
Occupational Therapist
Primary
5201004451
MI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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