Organization
MICHIGAN REHABILITATION PHYSICIANS
Active
Organization
MICHIGAN REHABILITATION PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER HANNA GUMMA MD (OWNER)
(313) 367-2767
Entity
Organization
Contact information
Practice address
17187 SCHAEFER HWY, DETROIT, MI 48235-4132
(313) 367-2767
(313) 367-2818
Mailing address
PO BOX 93, FRASER, MI 48026-0093
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301086814
MI
Other
Enumeration date
07/15/2010
Last updated
04/24/2020
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