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Organization

DOWNRIVER REHABILITATION ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY CHARLES GUYON M.D. (OWNER/CHIEF OFFICER)
(734) 246-6016
Entity
Organization

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6016
(734) 246-7344
Mailing address
PO BOX 510, WYANDOTTE, MI 48192-0510
(734) 246-6016
(734) 246-7344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052891
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1210020
MI
05
2843029
MI
Enumeration date
02/08/2008
Last updated
02/19/2008
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