Organization
EXCEL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RICE MD (OWNER)
(734) 414-0754
Entity
Organization
Contact information
Practice address
42928 VERSAILLES, CANTON, MI 48187-2344
(734) 414-0754
(734) 414-0769
Mailing address
2718 RIVER RD, MAUMEE, OH 43537-3737
(734) 414-0754
(734) 414-0769
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35067035C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300156
—
OH
01
—
3567035C
LICENSE
OH
Enumeration date
08/27/2012
Last updated
08/27/2012
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