Organization
ASCENSION MEDICAL GROUP MICHIGAN
Active
Other names
Shelby Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH STARKEL (CREDENTIALING COORDINATOR)
(248) 680-8121
Entity
Organization
Contact information
Practice address
17900 23 MILE RD, SUITE 401, MACOMB, MI 48044-1161
(586) 868-9040
(586) 868-9013
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
05/04/2007
Last updated
11/15/2023
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