Organization
PREMIER MEDICAL AND REHABILITATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BERKOVICH (SECRETARY)
(248) 935-6646
Entity
Organization
Contact information
Practice address
1121 N SAGINAW ST, HOLLY, MI 48442-1380
(248) 935-6646
Mailing address
30500 NORTHWESTERN HWY STE 316C, FARMINGTON HILLS, MI 48334-3178
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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