Organization
MIDWEST PHYSICAL MEDICINE AND REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA GREEN M.D. (PRESIDENT)
(734) 542-1970
Entity
Organization
Contact information
Practice address
14555 LEVAN RD, SUITE 314, LIVONIA, MI 48154-5083
(734) 542-1970
(248) 614-9756
Mailing address
PO BOX 285, TROY, MI 48099-0285
(734) 542-1970
(248) 614-9756
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301076422
MI
Other
Enumeration date
08/27/2006
Last updated
07/06/2015
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