Organization
AMERICAN HEADACHE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE IRELAND (VP ADMINISTRATION)
(248) 601-9207
Entity
Organization
Contact information
Practice address
876 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-2740
(248) 601-9207
Mailing address
878 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-2740
(248) 601-9207
(248) 650-8670
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35820
BLUE CROSS
MI
Enumeration date
01/12/2011
Last updated
08/22/2011
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