Organization
REVIVE DEARBORN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSEF ALMADRAHI (OFFICE MANAGER)
(248) 828-6924
Entity
Organization
Contact information
Practice address
5225 AUTO CLUB DR STE 101, DEARBORN, MI 48126-2620
(248) 819-1703
Mailing address
5225 AUTO CLUB DR STE 101, DEARBORN, MI 48126-2620
(248) 819-7103
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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