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Organization

COMMON CONNECTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY MCNEAL (PROGRAM DIRECTOR)
(248) 864-8860
Entity
Organization

Contact information

Practice address
24355 W 10 MILE RD, SOUTHFIELD, MI 48033-2929
(248) 864-8860
(248) 281-6905
Mailing address
24355 W 10 MILE RD, SOUTHFIELD, MI 48033-2929
(248) 864-8860
(248) 281-6905

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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