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Individual

ADAM REZMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3152 PORT SHELDON ST, A, HUDSONVILLE, MI 49426-9297
(616) 662-0990
Mailing address
510 COLLEGE AVE NE APT 413, GRAND RAPIDS, MI 49503-1766

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016859
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902977788
MI
01
30685
BCBS
MI
Enumeration date
10/07/2014
Last updated
10/07/2014
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