Organization
MENDELSON ORTHOPEDIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT MENDELSON M.D. (DIRECTOR)
(734) 542-0200
Entity
Organization
Contact information
Practice address
14555 LEVAN RD, SUITE 215, LIVONIA, MI 48154-5083
(734) 542-0200
Mailing address
14555 LEVAN RD, SUITE 215, LIVONIA, MI 48154-5083
(734) 542-0200
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020755
—
MI
Enumeration date
01/05/2007
Last updated
07/21/2022
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