Organization
MTA PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T ANDARY MD (OWNER)
(517) 377-8252
Entity
Organization
Contact information
Practice address
2727 S PENNSYLVANIA AVE, LANSING, MI 48910-3488
(517) 377-8252
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
03/24/2008
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