Organization
EZ REST RE-HAB CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WOLODKOWICZ (OWNER)
(248) 275-5221
Entity
Organization
Contact information
Practice address
25932 DEQUINDRE RD STE C, WARREN, MI 48091-1071
(248) 275-5221
(586) 486-5552
Mailing address
25932 DEQUINDRE RD STE C, WARREN, MI 48091-1071
(248) 275-5221
(586) 486-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MI
208VP0014X
Interventional Pain Medicine Physician
4301039079
MI
225100000X
Physical Therapist
Primary
5501005051
MI
Other
Enumeration date
05/01/2013
Last updated
07/08/2014
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