Organization
NORTHERN EDGE INSTITUTE OF REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ROSE M.D. (PRESIDENT)
(231) 348-1995
Entity
Organization
Contact information
Practice address
267 CREEKSIDE DR STE 200, PETOSKEY, MI 49770-7609
(231) 348-1995
Mailing address
PO BOX 1024, CADILLAC, MI 49601-6024
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
03/25/2008
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