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Organization

STANDISH REHABILITATION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISHNA CHALASANI (ALT ADMINISTRATOR)
(989) 245-2024
Entity
Organization

Contact information

Practice address
529 S MAIN ST, SUITE G, STANDISH, MI 48658
(989) 846-0937
(989) 846-0936
Mailing address
P O BOX 1158, 529 S MAIN SUITE G, STANDISH, MI 48658
(989) 846-0937
(989) 846-0936

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0980976
HEALTHPLUS
MI
01
1016991
MCLARENHP
MI
01
30690
BCBS
MI
05
3428910
MI
Enumeration date
08/29/2006
Last updated
07/21/2022
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