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Individual

RANI ISSA GEBARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1200 E MICHIGAN AVENUE, STE 520, LANSING, MI 48912
(517) 364-5260
(517) 364-5251
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2005984
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101018893
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588984702
MI
Enumeration date
06/10/2010
Last updated
08/23/2021
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