Organization
DEQUINDRE PHYSICAL THERAPY & REHAB SERVICE INC.
Active
Other names
Dequindre Physical Therapy & Rehab Service Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKUS M MUNGER PT (OWNER)
(248) 879-9400
Entity
Organization
Contact information
Practice address
41069 DEQUINDRE ROAD, SUITE 102, TROY, MI 48085-6730
(248) 879-9400
(248) 879-2348
Mailing address
41069 DEQUINDRE ROAD, SUITE 102, TROY, MI 48085-6730
(248) 879-9400
(248) 879-2348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30454
BCBSM
MI
Enumeration date
10/20/2006
Last updated
04/25/2014
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