Organization
GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE ABRAHAMSON M.D. (OWNER PHYSICIAN)
(313) 304-4818
Entity
Organization
Contact information
Practice address
3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
(734) 287-3000
Mailing address
3247 BIDDLE AVE, WYANDOTTE, MI 48192-5951
(734) 287-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
078199
MI
Other
Enumeration date
05/30/2007
Last updated
03/15/2019
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