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Organization

MTA PHYSICAL MEDICINE AND REHABILITATION, PLLC

Active
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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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