Organization
MAGNUM REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA JEAN BARRETT (MANAGER)
(734) 730-7579
Entity
Organization
Contact information
Practice address
20526 PLYMOUTH RD STE B, DETROIT, MI 48228-1273
(734) 730-7579
Mailing address
20526 PLYMOUTH RD STE B, DETROIT, MI 48228-1273
(734) 730-7579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063440
MI
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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