Organization
STAT PAIN MANAGEMENT & REHABILITATION SPECIALTIES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROZELLE (OWNER)
(734) 434-6246
Entity
Organization
Contact information
Practice address
2883 HAWKS RD, ANN ARBOR, MI 48108-1318
(734) 434-6246
(734) 434-2307
Mailing address
2883 HAWKS RD, ANN ARBOR, MI 48108-1318
(734) 434-6246
(734) 434-2307
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007231172
AETNA PIN
MI
01
—
540H104110
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/05/2007
Last updated
09/25/2008
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