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Organization

SOUTHFIELD REHABILITATION COMPANY

Active
Other names
Oakland Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD F BURKE D.O. (PRESIDENT)
(586) 751-3380
Entity
Organization

Contact information

Practice address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5199
Mailing address
PO BOX 674073, DETROIT, MI 48267-0001
(586) 582-0864
(586) 576-0393

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
630013
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00127
BLUE CROSS BLUE SHIELD
MI
05
302837175
MI
Enumeration date
09/04/2008
Last updated
09/04/2008
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