Organization
SOUTHFIELD REHABILITATION COMPANY
Active
Other names
Oakland Regional Hospital Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD F BURKE D.O. (PRESIDENT)
(586) 751-3380
Entity
Organization
Contact information
Practice address
11012 E 13 MILE RD, SUITE 111, WARREN, MI 48093-2572
(586) 558-8470
(586) 558-8481
Mailing address
PO BOX 674073, DETROIT, MI 48267-0001
(586) 582-0864
(586) 576-0393
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
630013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E021910
BCBS/BCN
MI
Enumeration date
02/04/2009
Last updated
02/04/2009
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