Organization
UNION LAKE PHYSICAL REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN NEDELEA PHYSICAL THERAPIST (OWNER/PHYSICAL THERAPIST)
(248) 593-8677
Entity
Organization
Contact information
Practice address
2455 UNION LAKE RD, COMMERCE TWP, MI 48382
(248) 242-6025
Mailing address
2455 UNION LAKE RD, COMMERCE TWP, MI 48382
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501002317
MI
208100000X
Physical Medicine & Rehabilitation Physician
5501008896
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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