Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA NICHOLE ELENIS (ATHLETIC TRAINER/ SPORTS MEDICINE)
(248) 840-9710
Entity
Organization
Contact information
Practice address
1258 FRANKLIN RD, BERKLEY, MI 48072-2116
(248) 840-9710
Mailing address
1258 FRANKLIN RD, BERKLEY, MI 48072-2116
(248) 840-9710
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2601000322
MI
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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