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Organization

SOUTHFIELD REHABILITATION COMPANY

Active
Other names
Surgeons Choice Macomb Center
Organization subpart
No

Provider details

NPI number
Authorized official
RONDA SELEY (MEDICAL STAFF COORDINATOR)
(248) 423-5198
Entity
Organization

Contact information

Practice address
11012 THIRTEEN MILE ROAD, SUITE 112A, WARREN, MI 48093-2546
(586) 751-9800
(586) 751-9818
Mailing address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5199

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
506840
MI
207XS0106X
Orthopaedic Hand Surgery Physician
506840
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
506840
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
506840
MI
2084N0400X
Neurology Physician
506840
MI
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506840
MI
261QA1903X
Ambulatory Surgical Clinic/Center
282N00000X
General Acute Care Hospital
367500000X
Certified Registered Nurse Anesthetist
506840
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029594
MIDWEST HEALTH PLAN
MI
01
1031384
MCLAREN HEALTH PLAN
MI
01
135598502
U.S. DEPARTMENT OF LABOR
MI
01
38230
HEALTH PLAN OF MICHIGAN
MI
01
40003
BCBS OF MI
MI
01
4483448
AETNA
MI
Enumeration date
08/17/2005
Last updated
02/13/2026
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