Organization
MICHIGAN DIZZINESS AND BALANCE CLINIC, INC
Active
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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