Individual
MARKUS M MIJNSBERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 S MAIN ST, PLYMOUTH, MI 48170-1711
(734) 455-8370
Mailing address
650 S MAIN ST, PLYMOUTH, MI 48170-1711
(734) 455-8370
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501003840
MI
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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