Organization
ELITE MEDICAL REHABILITATION GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BERKOVICH (OWNER)
(248) 539-8781
Entity
Organization
Contact information
Practice address
30500 NORTHWESTERN HWY., SUITE 316C, FARMINGTON HILLS, MI 48334
(248) 539-8781
Mailing address
30500 NORTHWESTERN HWY., SUITE 316C, FARMINGTON HILLS, MI 48334
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207L00000X
Anesthesiology Physician
4301043383
MI
207R00000X
Internal Medicine Physician
RS021858
MI
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
06/05/2019
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