Organization
MIDWEST PHYSICAL MEDICINE AND REHABILITATION PLLC
Active
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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