Organization
SELECT MEDICAL
Active
Other names
NovaCare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA MIEDZIELEC ATC (CETIFIED ATHLETIC TRAINER)
(616) 776-5483
Entity
Organization
Contact information
Practice address
1535 44TH ST SW, WYOMING, MI 49509-4481
(616) 530-1977
Mailing address
1535 44TH ST SW, WYOMING, MI 49509-4481
(616) 530-1977
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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